Simple Laboratories is seeking an experienced full-time Billing and Denial Claims Specialist to join its Revenue Cycle Management team in Harwood Heights, Illinois.
This role focuses on identifying, analyzing, preventing, and resolving insurance claim denials for a CLIA-certified laboratory. The position works closely with billing, coding, laboratory operations, payer representatives, and clinical staff to improve reimbursement, reduce avoidable denials, and ensure claims are submitted and appealed accurately and on time.
Core hours are 9:00 AM to 5:30 PM and the role is on-site.
Requirements & Qualifications
- High school diploma or equivalent
- 3+ years of experience in medical billing, claims follow-up, denial management, or revenue cycle management
- Working knowledge of healthcare claims and payer reimbursement processes
- Strong attention to detail and ability to analyze complex claim information
- Excellent written and verbal communication skills
- Ability to manage multiple accounts, deadlines, and payer requirements independently
- Proficiency with Microsoft Office and healthcare billing or practice-management systems
- Preferred: experience in a CLIA-certified or diagnostic laboratory environment
- Preferred: experience with Medicare, Medicaid, and commercial laboratory claims
- Preferred: knowledge of CPT, HCPCS, ICD-10-CM, and modifiers
- Preferred: familiarity with laboratory medical-necessity policies, payer coverage requirements, electronic claims, clearinghouses, payer portals, and appeals
- Preferred: CPC, CCS, or equivalent certification
Benefits & Perks
- 401(k)
- 401(k) matching
- Paid time off (PTO)
- Health insurance
- Dental insurance
- Vision insurance
- STD/LTD
- Hospital indemnity insurance
- Critical illness insurance
- Accident insurance
Location
Illinois, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
2 months ago