Insurance Representative II

: :

• Position: AR 11
• Location: 4901 Searle Parkway Skokie, Il
• Full Time/Part Time: Full Time
• Hours: Monday-Friday, 8am - 4:30pm

• Required Travel: No

What you will need:

• Education: Minimum High School graduate or equivalent. 2 years post high school education or degree preferred.
• Certification: N/A
• Experience: Knowledge of working hospital denials, CPT coding practices preferred, EPIC knowledge would be preferred and minimum two years of experience in healthcare financial setting required
• Skills: Analytical ability to understand, interpret contract terms for our contracted plans and critical thinking skills for root causes of denials

What you will do:

• Resolve denied claims
• Submit reconsideration/appeals to payors
• Working project (trended issues) as assigned

NorthShore University HealthSystem (NorthShore) is an integrated healthcare delivery system consistently ranked a Top 15 Major Teaching Hospital in the U.S. Headquartered in Evanston, Illinois, NorthShore comprises five hospitals ( Evanston , Glenbrook , Highland Park , Skokie and Swedish ), 140 Medical Group and Specialty Care offices, and more than 3,000 physicians, serving over 635,000 patients. The organization supports academics and research as the principal teaching affiliate for the University of Chicago Pritzker School of Medicine. Recognized for nursing excellence, NorthShore is a Magnet designated organization-the first system in Illinois to receive this prestigious honor. NorthShore has an established reputation and employs over 12,500 people. When you work for NorthShore, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential. Please explore our website ( ) to better understand how NorthShore delivers on its mission "to preserve and improve human life" through superior clinical care, academic excellence and innovative research. NorthShore is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information. EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor Benefits:

• Career Pathways to Promote Professional Growth and Development
• Various Medical, Dental, and Vision options, including Domestic Partner Coverage
• Tuition Reimbursement
• Free Parking at designated locations
• Wellness Program Savings Plan
• Health Savings Account Options
• Retirement Options with Company Match
• Paid Time Off and Holiday Pay
• Community Involvement Opportunities

Overall Qualifications: