LaSalle Intelligent Solutions is partnering with our client to hire a Denials Specialist in Skokie, Illinois, for a contract-to-hire opportunity. This Denials Specialist role is a strong fit for someone who enjoys owning end-to-end denial and appeal workflows while also driving reporting, data integrity, and cross-functional collaboration. In this Denials Specialist position, you’ll support denial prevention and revenue protection across multiple payor types and stay current on evolving regulatory requirements. Our client offers a growth-focused environment with strong leadership, and this role is fully remote after an initial on-site training period.
Please note: this role requires fully on-site training in Skokie for the first 1-2 week, and then transitions to fully remote immediately after training.
Responsibilities
• Oversee denial and appeal workflows using a denial management system, including documentation, deadline tracking, and timely payment/adjustment processing
• Audit denial data to correct errors, maintain data integrity, and build standard and ad-hoc reports to identify trends and variances
• Perform denial root-cause analysis and provide feedback and education to departments and provider offices to reduce denials and improve processes
• Maintain current knowledge of Medicare, Medicaid, and managed care requirements by monitoring CMS guidance and industry changes
• Serve as a liaison across departments and off-site facilities to support denial prevention and optimal reimbursement
• Perform RAC account review and reconciliation, including appeals for medically unlikely edits (MUE) rejections and related adjustments/refunds as appropriate
• Complete adjudication-related work, including calculating allowances, identifying contract inconsistencies, and correcting account/insurance errors
Qualifications
• High school diploma or equivalent required; associate degree in business, accounting, or healthcare (or bachelor’s degree) preferred
• At least 3 years of experience in adjudication, reimbursement, denial management, utilization review, or similar experience in a healthcare environment
• Epic experience required
• Knowledge of reimbursement models and related federal/state/regulatory requirements, including Medicare, Medicaid, and managed care
• Proficiency with Microsoft Office products and comfort working in databases, report writing, and multiple payer portals/systems
• Familiarity with claims processing and coding concepts (CPT, HCPCS, DRGs, and ICD-9/10) and strong writing skills to draft clear, persuasive appeal letters
Key Details
• Employment Type: Contract-to-Hire
• Compensation: $26 – $28 per hour
• Benefits (Contract): LaSalle Intel consultants are eligible to enroll in benefits. For details, visit: https://www.thelasalleintel.com/consultants/
• Location: Skokie, IL
• Work Model: Fully Remote
Ready to take the next step in your career? Apply today — we’re actively interviewing and excited to meet you.
Jessica Xiques
Recruiter
#LNAF
#LI-JX1
LaSalle Network is an Equal Opportunity Employer m/f/d/v.
LaSalle Network is the leading provider of direct hire and temporary staffing services. For over two decades, LaSalle has helped organizations hire faster and connect top talent with opportunities, from entry-level positions to the C-suite. With units specializing in Accounting and Finance, Administrative, Engineering, Marketing, Technology, Supply Chain, Revenue Cycle, Call Center, Human Resources and Executive Search, LaSalle offers staffing and recruiting solutions to companies of all sizes and across all industries.
LaSalle Network is the premier staffing and recruiting firm, earning over 100 culture, revenue and industry-based awards from major publications and having its company experts regularly contribute insights on retention strategies, hiring trends, hiring challenges, and more to national news outlets. LaSalle Network offers temporary Field Employees benefit plans including medical, dental and vision coverage. Family Medical Leave, Worker's Compensation, Paid Leave and Sick Leave are also provided. View a full list of our benefits here
All assignments are at-will and their duration is subject to change.