Clinical Denials Specialist

Post Date

Oct 03, 2024

Location

Skokie,
Illinois

ZIP/Postal Code

60076
US
Oct 01, 2025 Insight Global

Job Type

Contract-to-perm

Category

Nurse

Req #

HNC-738623

Pay Rate

$30 - $38 (hourly estimate)

Job Description

Insight Global is looking for a clinical denials specialist to join the team at one of your healthcare clients in Chicago. As a Clinical Denials Specialist you will be working with the denials team to review and analyze denials from a clinical perspective. This person will be responsible for preparing appeals and communication with the clinical team members. With a strong focus on maximizing patient outcomes and optimizing resource allocation, this position requires exceptional clinical knowledge, excellent communication skills, and the ability to thrive in a fast-paced and ever-changing healthcare environment.

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 regardless of their 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 HR@insightglobal.com.

To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

Required Skills & Experience

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
Excellent verbal and written communication skills

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.