Revenue Cycle Denials Receivable Representative

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Job Title: Revenue Cycle Denials Receivable Representative

Company Name:	Carle Health
Location:	Champaign, IL
Position Type:	Full Time
Post Date:	01/19/2026
Expire Date:	03/20/2026
Job Categories:	Administrative and Support Services, Biotechnology and Pharmaceutical, Customer Service and Call Center, Healthcare, Other, Healthcare, Practitioner and Technician, Information Technology, Law Enforcement, and Security, Legal, Medical

Job Description

Revenue Cycle Denials Receivable Representative
Overview Proficient in Revenue Cycle Denials Receivable Representative 1. Responsible for handling escalated account and payer issues. Handles complex edits, appeals and account activities such as advanced level tasks, bankruptcies, Risk Management. Acts as a billing and reimbursement expert for a defined payer product line. Qualifications EDUCATIONAL REQUIREMENTS Associate's degree preferred. CERTIFICATION & LICENSURE REQUIREMENTS None specified EXPERIENCE REQUIREMENTS One year customer service experience in health care required or a high performer as an Accounts Receivable Representative 1. Credit and collection experience preferred. Proficient computer knowledge related to Microsoft Office applications such as Word, Excel, Outlook and Receivables Management systems. SKILLS AND KNOWLEDGE Possesses the "other knowledge and skills" of the Revenue Cycle Accounts Receivable Representative 1. Knowledge of basic medical coding and third-party operating procedures and practices with proficiency in EncoderPro. Responsibilities Must be able to perform essential job functions of Revenue Cycle Accounts Receivable Representative 1. Handles complex edits, correspondence and advanced level workqueues such as but not limited to retro review, EOB balancing, credit adjustment review and processing of Illinois Workers’ Compensation Commission (IWCC). Handles escalated account activities such as but not limited to healthcare liens, settlement requests, workers’ compensation reimbursement computation forms and attorney requests. Handles escalated appeals. Assists with training and education to staff for accuracy. Identifies payer and system issues to initiate project requests for process improvements. Assists in credit balance review according to organization’s credit balance/refund policy. Attends and participates in meetings with payer specific provider representatives to maximize reimbursement and minimize denials through problem solving, collaboration and consensus. About Us Find it here. Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance – and opportunities meet flexibility. Find it all here at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,500 team members in its eight hospitals, physician groups and a variety of healthcare businesses and is recognized as a Great Place to Work®. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital and Carle Health Pekin Hospital hold Magnet® designations, the nation’s highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Health Alliance™. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.

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