Illinois Licensed Denial Specialist

Job Summary

A company is looking for a Denial Resolution Specialist.

Key Responsibilities

• Manage and execute all billing functions, focusing on Illinois Medicaid billing
• Oversee claims management, documentation, reporting, and ensure regulatory compliance
• Collaborate and communicate effectively with team members and stakeholders

Required Qualifications, Training, and Education

• High school diploma or equivalent required; associate or bachelor's degree preferred
• 3-5 years of prior billing experience in a long-term care or skilled nursing facility setting
• Detailed knowledge of Illinois Medicaid regulations and billing procedures for all payer types
• Proficiency with billing software and electronic medical record (EMR) systems
• Experience with Microsoft Word, Excel, and Outlook required