**About This Opportunity**
You’re not just processing claims—you’re the key to turning denials into revenue. At KnowHireMatch, we’re partnering with a national leader in superficial radiation therapy services—a company that partners with over 300 practices nationwide, generates $130M+ in revenue, and is growing fast. If you’re a detail-driven claims specialist who thrives on solving puzzles, this role offers real room to grow, a collaborative culture, and the chance to make a direct impact on a high-performing revenue cycle team.

**Your Mission**
As our Medical Claims Specialist, you’ll own the denial resolution process from start to finish. You’ll dig into denied and underpaid claims, figure out what went wrong, and take action—whether that means appealing, correcting, or resubmitting. You’ll work closely with payers, providers, and internal teams to ensure every dollar your organization is owed gets collected.

**What You’ll Do Day-to-Day**
- Review and analyze denied or underpaid claims to identify root causes—then take corrective action.
- Interpret Explanation of Benefits (EOBs), denial codes, and payer guidelines to spot trends and find solutions.
- Research and resolve denials through appeals, corrections, and additional documentation—always following up on time.
- Submit corrected claims for issues like missing CPT codes, incorrect provider info, or coding adjustments.
- Apply appropriate CPT modifiers when unbundling office visits with procedures or treatments, per payer policy.
- Manage day-to-day accounts receivable (A/R) processes, prioritizing claims from aging reports.
- Use Excel to review, organize, and analyze aging data—filter, pivot table, and track claim status like a pro.
- Navigate EHR/EMR systems, billing platforms, and clearinghouses to process and track claims; troubleshoot clearinghouse rejections or errors.
- Communicate with payers, providers, and internal departments to get the information you need.
- Stay current on changes in medical coding, payer rules, and billing requirements.
- Maintain HIPAA compliance and all regulatory guidelines.
- Identify and report recurring denial patterns to help the team improve processes and reduce future denials.
- Contribute to a collaborative, professional team environment.

**What You Bring**
- 2+ years of experience in medical claims, billing, or denial management.
- Strong understanding of medical billing, ICD-10, CPT, and HCPCS coding.
- Familiarity with CMS-1500 forms and payer-specific guidelines.
- Solid Excel skills—you can filter, sort, and create pivot tables to track aging data.
- Excellent analytical, communication, and problem-solving skills.
- A detail-oriented mindset and the ability to prioritize in a fast-paced environment.

**Compensation & Location**
- Location: Burr Ridge, Illinois (onsite or hybrid flexibility)
- Compensati