Claims Follow-up Insurance Specialist - Commercial

Ann & Robert H. Lurie Children’s Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children’s Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

680 Lake Shore Drive

• Conduct timely and thorough follow-up on outstanding professional billing claims using Epic work queues.
• Research and resolve denied, delayed, or unpaid claims by communicating with payers via phone, portal, or written correspondence.
• Review payer responses and denial codes to determine appropriate action for claim resolution.
• Coordinate with coding, registration, and clinical departments to correct claim errors and resubmit when appropriate.
• Document all activities and communications clearly in the Epic system to maintain accurate account records.
• Identify and elevate trends or payer issues to management for resolution and payer intervention.
• Maintain knowledge of payer‑specific guidelines and billing regulations.
• Meet or exceed productivity and quality metrics established by the department.
• Assist with training and mentoring of new staff as needed.

• High school diploma or GED required.
• Associate’s or Bachelor’s degree in healthcare, business, or related field preferred.

• Minimum of 2 years of experience in professional billing follow-up or healthcare revenue cycle operations, preferably in a professional billing environment.
• Strong working knowledge of Epic EHR is preferred.
• Experience with medical insurance guidelines, CPT/ICD-10 codes, and denial management is preferred.
• Skills and Abilities:
• Strong problem‑solving and analytical skills.
• Excellent verbal and written communication skills.
• Ability to navigate payer websites and systems for claim status and resolution.
• Proficiency in Microsoft Office applications (Excel, Word, Outlook).
• Ability to manage time effectively and work independently in a fast‑paced environment.
• Understanding of HIPAA and patient confidentiality requirements.

$21.00-$32.55 Hourly

At Lurie Children’s, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions. In addition to base salary, Lurie Children’s offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs.

For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:

• Medical, dental and vision insurance
• Employer paid group term life and disability
• Employer contribution toward Health Savings Account
• Flexible Spending Accounts
• Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
• 403(b) with a 5% employer match

• Supplemental Life, AD&D and Disability
• Critical Illness, Accident and Hospital Indemnity coverage
• Tuition assistance
• Student loan servicing and support
• Adoption benefits
• Backup Childcare and Eldercare
• Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
• Discount on services at Lurie Children’s facilities
• Discount purchasing program

At Ann & Robert H. Lurie Children’s Hospital of Chicago and its affiliates…