Clinical Denials Specialist

4 weeks ago


Skokie, Illinois, United States Insight Global Full time
Job Title: Clinical Denials Specialist

About the Role:
Insight Global is seeking a Clinical Denials Specialist to join our team at one of our healthcare clients in Chicago. As a Clinical Denials Specialist, you will work with the denials team to review and analyze denials from a clinical perspective. This role requires exceptional clinical knowledge, excellent communication skills, and the ability to thrive in a fast-paced and ever-changing healthcare environment.

Key Responsibilities:
• Review and analyze denied claims
• Prepare appeals and communicate with the clinical team
• Maximize patient outcomes and optimize resource allocation

Requirements:
• 3+ years experience as a utilization review nurse
• Experience reviewing and analyzing denied claims
• Knowledge of insurance companies and policies
• Experience with EPIC and Microsoft
• Valid RN License

About Insight Global:
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to our HR department.

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