JobotNewSenior Inpatient Coder (CIC/CCS) JobotSenior Inpatient Coder (CIC/CCS)Chicago, ILRemote$30ā$40 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This is a fantastic opportunity to utilize your coding skills and knowledge in a challenging and rewarding environment, working with a variety of medical specialties and interacting with our dedicated healthcare professionals.
Constellation EnergyNewRP ALARA Specialist Constellation EnergyRP ALARA SpecialistMorris, IL$99,900ā$111,000Is accountable for implementing the station As Low as Reasonably Achievable (ALARA) program through the activities of ALARA planning or application of effective ALARA techniques such as lead shielding, flushing, and implementation of technology used to reduce exposure. Tracking and monitoring RP metrics for Collective Radiation Exposure (CRE) reduction including personnel exposure, industry metrics, and other plant parameters to ensure that the site maintains an appropriate focus on CRE.
CHS IncNewA/R Specialist, Experienced CHS IncA/R Specialist, ExperiencedShipman, ILThe Experienced AP/AR Specialist will provide day-to-day support for the business unit customers and vendors through the entire procure-to-pay process and, at the same time, seek process improvement efficiencies and understand corporate structures, business contacts, and stakeholders. CHS Inc. is a leading global agribusiness owned by farmers, ranchers and cooperatives across the United States that provides grain, food and energy resources to businesses and consumers around the world.
Constellation EnergyNewSr Turbine Equip Specialist - EPU Projects Constellation EnergySr Turbine Equip Specialist - EPU ProjectsLadd, IL$117,900ā$131,000Now integrated with Calpine, our portfolio includes 55 gigawatts of capacity from nuclear, natural gas, geothermal, hydro, wind and solar facilities, with the generating capacity to power the equivalent of 27 million homes. As the largest private-sector power producer in the world and the nation's largest producer of clean and reliable energy, Constellation is focused on our purpose: lighting the way to a brilliant tomorrow for all.
LeidosData Engineering Specialist LeidosData Engineering SpecialistScott Afb, IL$87,100ā$157,450They will assist in designing and implementing data enrichment pipelines, integrating multiple data sources into Confluent (Kafka) and Elastic platforms, and help maintain Kafka and Elastic clusters to support mission-critical operations. The candidate will contribute to platform sustainment and reliability by addressing operational challenges and supporting the automation of the software development lifecycle, including CI/CD pipeline development, containerization, and automated testing, while following DevOps best practices.
ECLAROOutpatient Coder ECLAROOutpatient CoderChicago, IL$33ā$36 / hourEnsures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines. May be tasked with generating reports and/or analyzing data related to evaluation and management code utilization, CPT code application, denials, reimbursement per contracted terms, etc.
Oak Street HealthNewMedical Scribe - Bilingual Polish Preferred Oak Street HealthMedical Scribe - Bilingual Polish PreferredChicago, IL$17ā$31.30Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Oak Street HealthNewMedical Scribe Oak Street HealthMedical ScribeChicago, IL$17ā$31.30Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Oak Street HealthNewMedical Scribe (bilingual Spanish preferred) Oak Street HealthMedical Scribe (bilingual Spanish preferred)Bellwood, IL$17ā$31.30Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Carle HealthRN - Clinical Transitions Specialist Carle HealthRN - Clinical Transitions SpecialistPeoria, ILParticipates in multidisciplinary rounds and initiates timely referrals to other internal healthcare team members (quality improvement, risk manager, social workers, pharmacy, therapy services, etc.) Performs case management activities of assessment, coordination, planning, monitoring, implementation, and evaluation. Ensures patients receive proactive initial assessment of needs, ongoing evaluations, and initiation of discharge planning while facilitating a safe and timely transition from the acute care/hospital setting to an appropriate level of care outside the hospital.
Carle HealthRN - Clinical Transition Specialist Carle HealthRN - Clinical Transition SpecialistUrbana, ILCertifications: Accredited Case Manager (ACM) within 3 years - American Case Management Association (ACMA); Basic Life Support (BLS) within 30 days - American Heart Association (AHA); Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR), Education: College Diploma: Nursing, Work Experience: Responsibilities . Ensures patients receive proactive initial assessment of needs, ongoing evaluations, and initiation of discharge planning while facilitating a safe and timely transition from the acute care/hospital setting to an appropriate level of care outside the hospital.
Carle HealthClinical Transition Specialist RN Weekend - CFH Carle HealthClinical Transition Specialist RN Weekend - CFHUrbana, ILCertifications: Accredited Case Manager (ACM) within 3 years - American Case Management Association (ACMA); Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR), Education: Nursing, Work Experience: Act as a liaison working with patient/family and physician to determine next level of careConducts case review presentations to educate peers on unique or challenging cases and scope of practice issues. Ensures patients receive proactive initial assessment of needs, ongoing evaluations, and initiation of discharge planning while facilitating a safe and timely transition from the acute care/hospital setting to an appropriate level of care outside the hospital.
Carle HealthHealth Care Specialist, RN Carle HealthHealth Care Specialist, RNUrbana, ILCertifications: Accredited Case Manager (ACM) within 3 years - American Case Management Association (ACMA); Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR), Education: Nursing, Work Experience: Act as a liaison working with patient/family and physician to determine next level of careConducts case review presentations to educate peers on unique or challenging cases and scope of practice issues. Ensures patients receive proactive initial assessment of needs, ongoing evaluations, and initiation of discharge planning while facilitating a safe and timely transition from the acute care/hospital setting to an appropriate level of care outside the hospital.
ECLAROInpatient Coder ECLAROInpatient CoderChicago, IL$44.70ā$44.70 / hourAbility to concentrate on task at hand in open distracting environment independent manner; minimizing distractions in private work-from-home space. Responsibilities:Assigns ICD-10-CM-PCS and / or CPT-4 diagnostic and procedure codes to patient charts with accuracy and attention to detail.
Constellation EnergyNewRadiation Protection Tech Spclst Constellation EnergyRadiation Protection Tech SpclstMorris, IL$97,200ā$108,000Is accountable for performing the technical evaluations commensurate with program evaluations for internal and external exposure evaluations, isotopic mix trending, whole body count, emergency plan plume dispersions, and other calculations as required by the program. Is accountable for implementing the station technical programs such as Dosimetry, Instrumentation, respiratory programs, self-assessments, procedure implementation, and other programmatic processes as assigned.
CollaberaPurchasing Specialist CollaberaPurchasing SpecialistNorth Chicago, IL$28ā$30 / hourTemporaryContractorPosition SummaryThe Support Specialist is responsible for timely processing of shopping carts/requisitions within SRM to ensure the on-time delivery of necessary goods and services needed to support the PDS&T Combination Products, Aesthetics and Device organization (CAD).The This role is also responsible for submission of contract requests into procurement systems, creation and oversight of RCEs, documentation of processes and activity, and supporting internal customers and Finance regarding PO status.
Carle HealthNewRN - Cardiology Clinic - Methodist Carle HealthRN - Cardiology Clinic - MethodistPeoria, IL$33.11ā$53.88 / hourCertifications: Basic Life Support (BLS) within 30 days - American Heart Association (AHA)American Heart Association (AHA)American Heart Association (AHA); Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)Illinois Department of Financial and Professional Regulation (IDFPR)Illinois Department of Financial and Professional Regulation (IDFPR), Education: College Diploma: Nursing, Work Experience: Responsibilities. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities.
Affiliated OncologistsNewMedical Coding Specialist Affiliated OncologistsMedical Coding SpecialistOrland Park, IllinoisRemote$26ā$39 / hour
University of Wisconsin Hospitals and Clinics AuthorityMedical Coding Specialist II - Inpatient University of Wisconsin Hospitals and Clinics AuthorityMedical Coding Specialist II - InpatientRockford, ILRemoteFull timeOur respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
Northwestern Memorial HealthCareAnesthesia Coding Specialist II, PB Coding, Full-time, Days, (Remote - Must reside in IL, IN, IA, WI, OH, MO, MI, or FL) Northwestern Memorial HealthCareAnesthesia Coding Specialist II, PB Coding, Full-time, Days, (Remote - Must reside in IL, IN, IA, WI, OH, MO, MI, or FL)Chicago, ILRemoteEnsures charges are captured by performing various reconciliations (procedure schedules, OR logs and clinical system reports) ā¢ Provides documentation feedback to physicians ā¢ Maintains coding reference information ā¢ Trains physicians and other staff regarding documentation, billing and coding ā¢ Reviews and communicates new or revised billing and coding guidelines and information ā¢ Attends meetings and educational roundtables, communicates pertinent information to physicians and staff ā¢ Resolves pre-accounts receivable edits ā¢ Identifies repetitive documentation problems as well as system issues ā¢ Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD9 codes and modifiers. Adds MBO tracking codes as needed ā¢ Collaborate with Patient Accounting, PB Billing, and other operational areas to provide coding reimbursement expertise; helps identify and resolve incorrect claim issues and is responsible for drafting letters in order to coordinate appeals ā¢ Acts as key point person for Revenue Cycle staff and Account Inquiry Unit staff in obtaining documentation (notes, operative reports, drug treatment plans, etc.).
Diedre Moire Corp.Claims Examiner MedMal Diedre Moire Corp.Claims Examiner MedMalAurora, IL$100,000ā$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
Carle HealthManager, Coding Education and Quality Carle HealthManager, Coding Education and QualityChampaign, IllinoisThe manager is responsible for establishing and maintaining a framework of conducting regular coding audits for all coders and providers, to include providing individual feedback, providing regular educations sessions, and providing coding guidance through regular review of literature, rules, regulations and coding policies, both internal and external. The Manager over Coding Education and Quality is responsible and accountable for initial and ongoing education and audit of providers, Carle coding team members, and external coders to assure a high level of coding quality and accuracy for Carle.
Rosalind Franklin University of Medicine and ScienceSpecialist, Medical Billing Rosalind Franklin University of Medicine and ScienceSpecialist, Medical Billingnorth chicago, IL$18.51ā$23 / hourRosalind Franklin University Health Clinics (RFUHC), a subsidiary of Rosalind Franklin University of Medicine and Science, combines compassionate care with state-of-the-art science to provide patients with the highest quality medical services. The Billing Specialist is responsible for gathering charge information, coding, entering charges into billing software, resolving outstanding balances with patients, and third-party payers to bring resolution to accounts.
Northwestern Memorial HealthCareOutpatient Coder II, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, WI, OH, MO, MI, or FL - Sign-on bonus eligible) Northwestern Memorial HealthCareOutpatient Coder II, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, WI, OH, MO, MI, or FL - Sign-on bonus eligible)Chicago, ILRemoteFollows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinics, interprets ICD-10-CM coding conventions and instructional notes to select appropriate diagnoses with a minimum of 95% accuracy. Identifies opportunities to enhance CAC (computer assisted coding), i.e. notifying IT liaison of documents filing to Default folder, incorrect system assigned codes, etc.
Fox Valley InstitutePart-Time Medical Billing Specialist Fox Valley InstitutePart-Time Medical Billing SpecialistNaperville, ILFVI is actively seeking qualified applicants who are passionate about superior client care, excited to make an impact from day one and who are dedicated to providing an exceptional experience for everyone they come in contact with at Fox Valley Institute. Fox Valley Institute (FVI), located in Naperville, Illinois, is a multi-award-winning counseling practice focused on helping people reach their greatest potential.
Fox Valley InstituteMedical Billing Specialist Part - Time Fox Valley InstituteMedical Billing Specialist Part - TimeNaperville, ILFVI is actively seeking qualified applicants who are passionate about superior client care, excited to make an impact from day one and who are dedicated to providing an exceptional experience for everyone they come in contact with at Fox Valley Institute. Fox Valley Institute (FVI), located in Naperville, Illinois, is a multi-award-winning counseling practice focused on helping people reach their greatest potential.
Riverside HealthcareCERTIFIED MEDICAL ASSISTANT - BOURBONNAIS PEDS SPECIALISTS (FT DAYS) Riverside HealthcareCERTIFIED MEDICAL ASSISTANT - BOURBONNAIS PEDS SPECIALISTS (FT DAYS)BOURBONNAIS, Illinois$20.35ā$24.85 / hourRiverside Healthcare offers a comprehensive suite of Total Rewards: benefits and nationally rated employee well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more ā so your journey at and away from work is remarkable. As a CCMA, you will play a crucial role in patient care by supporting healthcare providers during examinations and treatments, administering vaccines, and conducting various medical procedures.
AFC URGENT CAREMedical Coder AFC URGENT CAREMedical CoderHinsdale, ILMakes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD10 codes and modifiers. May collaborate with Patient Accounting, PB Billing, and other operational areas to provide coding reimbursement assistance; helps identify and resolve incorrect claim issues and may assist with drafting letters in order to coordinate appeals.
Endeavor HealthMedical Coder II Endeavor HealthMedical Coder IIWarrenville, IL$24.86ā$37.29 / hourOur more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. Benefits (For full-time or part-time positions): Opportunity for annual increases based on performance Career Pathways to Promote Professional Growth and Development Various Medical, Dental, Pet and Vision options Tuition Reimbursement Free Parking Wellness Program Savings Plan Health Savings Account Options Retirement Options with Company Match Paid Time Off and Holiday Pay Community Involvement Opportunities.
AFC URGENT CAREMedical Prior Authorization Specialist AFC URGENT CAREMedical Prior Authorization SpecialistHinsdale, ILReceives and properly responds to, or directs telephone and electronic inquiries from patients, payers, physicians and their staff, internal department and other persons and entities. Company Overview: Modern Pain Consultants is a renowned Interventional Pain Practice committed to providing exceptional patient care and innovative pain management solutions.
Intergrated Pain Management SCCertified Medical Biller and Coder Intergrated Pain Management SCCertified Medical Biller and Coderchicago, AL$17ā$19.50 / hourThe "Appeal Artist": You donāt just accept a denial; you know how to interpret an EOB, identify the root cause, and craft winning appeals to recover revenue. The ideal candidate isn't just a data entry clerk; you are a denial management expert who understands the complexities of Workersā Compensation (IWCC) and commercial insurance claims.
Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistChicago, IL$110,700ā$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
USA Clinics GroupSenior Revenue Cycle Specialist - Onsite USA Clinics GroupSenior Revenue Cycle Specialist - OnsiteNorthbrook, IL$50,000ā$58,000Founded by Harvard-trained physicians with a vision of offering patient-first care beyond the hospital settings, weāve grown into the nationās largest network of outpatient vein, fibroid, vascular, and prostate centers, with 170+ clinics across the country. Proactively identify opportunities to streamline workflows and implement automation, including AI-based tools for denial prediction, posting accuracy, and trend analysis.
Hired by MatrixBilling Specialist Hired by MatrixBilling SpecialistHopedale, IL$800ā$800Responsibilities:Prepare and submit clean UB-04 and CMS-1500 claims to Medicare, Medicaid, commercial, and other payers across all service lines in a timely manner. PREFERRED: Experience with multi-service line facility billing including SNF, swing bed, and outpatient services.
Solve IT Strategies, Inc.Pharmacy Billing Specialist Solve IT Strategies, Inc.Pharmacy Billing SpecialistChicago, ILThis role ensures accurate and timely billing, supports audit readiness and response, maintains compliance with federal and state regulations, and leads process improvement initiatives related to pharmacy revenue cycle performance. Conducts scheduled and ad-hoc audits of pharmacy billing, charging, and collection practices to ensure alignment with payer contracts, Medicare/Medicaid guidelines, HIPAA, and other federal/state regulations at the direction of the Manager.
Endeavor HealthBilling Reimbursement Specialist Endeavor HealthBilling Reimbursement SpecialistArlington Heights, IL$19.89ā$28.84 / hourOur more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. Benefits: ā¢ Career Pathways to Promote Professional Growth and Development ā¢ Various Medical, Dental, and Vision options ā¢ Tuition Reimbursement ā¢ Free Parking at designated locations ā¢ Wellness Program Savings Plan ā¢ Health Savings Account Options ā¢ Retirement Options with Company Match ā¢ Paid Time Off ā¢ Community Involvement Opportunities.
Women's Health GroupOB/GYN Billing Specialist Women's Health GroupOB/GYN Billing SpecialistChicago, ILThis role requires strong knowledge of medical billing workflows, insurance follow-up, denial management, payment posting, claims resolution, and patient account management specific to an OB/GYN setting. Please send your resume and a brief summary of your OB/GYN billing experience, including your level of experience with athenahealth, to michael@whgchicago.com.
Carle HealthNewAccounts Receivable Insurance Specialist 1- Must have Hospital Billing, Denial, Follow up and Billing experience Carle HealthAccounts Receivable Insurance Specialist 1- Must have Hospital Billing, Denial, Follow up and Billing experienceChampaign, Illinois$17.26ā$27.96 / hourUtilizes clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc. In addition, follows up on outstanding receivables; completes basic appeals; answers, documents and completes inquiries from, insurance companies, internal departments, and 3rd party payers.
Wolcott, Wood and Taylor Inc.Denial Recovery Specialist Wolcott, Wood and Taylor Inc.Denial Recovery SpecialistChicago, ILThis role focuses on identifying root causes of denials, initiating corrective actions, and collaborating with coding, billing, and payer representatives to maximize revenue recovery and reduce future denials. The Denial Recovery Specialist is responsible for reviewing, analyzing, and resolving denied professional billing claims to ensure accurate and timely reimbursement.
Spectrum Billing SolutionsRevenue Cycle Billing Specialist Spectrum Billing SolutionsRevenue Cycle Billing SpecialistSkokie, ILRemoteFull timeRCMAnalyst | #RevenueCycleBillingSpecialist | #InsuranceSpecialist | #RevenueCycleClaimsSpecialist | #MedicalBillingSpecialist | #RevenueCycleARCollectionsSpecialist | #BillingandReimbursement Specialist | #BillingSpecialist | #BillingCoordinator | #ClaimsSpecialist | #BillingRepresentative | #CollectionsSpecialist | #ABABillingSpecialist | #ABAClaimsSpecialist | #BehavioralHealthBillingSpecialist | #ABACollectionsSpecialist. CM Analyst | Revenue Cycle Billing Specialist | Insurance Specialist | Revenue Cycle Claims Specialist | Medical Billing Specialist | Revenue Cycle AR Collections Specialist | Billing and Reimbursement Specialist | Billing Specialist |Billing Coordinator | Claims Specialist | Billing Representative | Collections Specialist | ABA Billing Specialist | ABA Claims Specialist | Behavioral Health Billing Specialist .
Northwestern Medicine Central Dupage HospitalNewClinical Quality Documentation Specialist Full-time, Days, Hybrid (Sign-on bonus eligible) Northwestern Medicine Central Dupage HospitalClinical Quality Documentation Specialist Full-time, Days, Hybrid (Sign-on bonus eligible)Chicago, ILBasic understanding of clinical documentation through the lens of local and national quality and ranking methodologies, including but not limited to, U.S. News and World Report, Vizient, Leapfrog, the CMS Star Rating, and payer contracts and assists the Managers of Clinical Documentation in execution of and maintenance of key strategies to effect change. The Clinical Quality Documentation Specialist I position facilitates improvement in the overall completeness and accuracy of quality data and outcomes through extensive interaction with physicians, nursing staff, interdisciplinary quality committees, multidisciplinary teams and clinical coders.
Carle HealthAccounts Receivable Insurance Specialist 1 Carle HealthAccounts Receivable Insurance Specialist 1Champaign, Illinois$17.26ā$27.96 / hourUtilizes clinical applications, payer websites and other systems as a research tool to retrieve medical documentation, patient eligibility information, billing guidelines, patient referrals, and hospital or procedure code authorizations to substantiate corrected claims submissions, through written appeals, and coding reviews, etc. In addition, follows up on outstanding receivables; completes basic appeals; answers, documents and completes inquiries from, insurance companies, internal departments, and 3rd party payers.
OSF HealthCareNewReimbursement Specialist OSF HealthCareReimbursement SpecialistPeoria, Illinois$20.21ā$23.77 / hourOSF HealthCare is dedicated to provide Mission Partners with a comprehensive and market-competitive total rewards package that includes benefits, compensation, recognition and well-being offerings that focus on the whole person and engage with their current stage of life and career. Qualifications: REQUIRED QUALIFICATIONS: Education: High School/GED Experience: āThree years in coding and reimbursement to have knowledge base of CPT codes, HCPCS, ICD-10, and third-party insurance requirements.
TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Chicago, ILRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. ā¢ Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Sterling Engineering, Inc.Lead Trade Compliance Specialist Sterling Engineering, Inc.Lead Trade Compliance SpecialistChicago, IL$106,000ā$135,000 / yearSterling Engineering is hiring a Lead Trade Compliance Specialist for a highly respected, global manufacturer with a strong presence in the energy and industrial sectors for more than 100 years. If you enjoy solving complex problems, creating structure in unstructured environments, and driving real organizational change.
Memorial HealthNewPATIENT RESOURCE SPECIALIST Memorial HealthPATIENT RESOURCE SPECIALISTLincoln, IllinoisBuild strong relationships with assigned business units, hospital departments, or provider offices, identifying and addressing trends in payment issues, educating and communicating with internal and external customers as appropriate. Coordinate with various departments such as MHS Patient Financial Services, Patient Access, Case Management, Scheduling, and clinical departments to ensure accurate financial documentation and a consistent, interdisciplinary approach.
Memorial HealthBilling Adjustment Specialist Memorial HealthBilling Adjustment SpecialistSpringfield, IllinoisIdentifies situations in which contractual adjustments are warranted by determining the original billed amounts as compared to the amounts allowed and prescribed by Medicare / Medicaid and/or managed care contracts, as applicable. Communicates orally and in writing with internal and external insurance representatives and/or governmental agencies (as applicable) to obtain insurance verification and to resolve account questions and billing issues.
Epitec, IncQuality Audit Specialist Epitec, IncQuality Audit SpecialistChicago, IL$40ā$45 / hourYou will work across EMR and non-EMR data sources, including supplemental files from providers and vendors, to improve HEDIS rates and reporting outcomes. This role is responsible for auditing and reviewing electronic clinical records to ensure data accuracy and alignment with medical record documentation for regulatory reporting.
Gelber GroupAccounts Payable Specialist Gelber GroupAccounts Payable SpecialistChicago, IL$50,000ā$70,000 / yearThis individual will play a key role in supporting the day-to-day operations of our accounting department by managing vendor payments, ensuring compliance with internal controls, and maintaining accurate financial records. With 16 distinct trading groups, we trade a little bit of everything here ā with diverse styles and approaches across all major global marketplaces ā and we are always looking to expand into new opportunities.
University of ChicagoPayments and Research Revenue Specialist University of ChicagoPayments and Research Revenue SpecialistHyde Park, IL$70,000ā$95,000 / yearThe Payments and Research Revenue Specialist is an integral part of the Office of Clinical Research, responsible for overseeing the accurate processing and allocation of clinical research revenue, including remittances from grants and clinical trial payments in the Electronic Medical Record (Epic EMR). The position supports continuous improvement initiatives, monitors and resolves outstanding items in EMR work queues for clinical research accounts, and ensures adherence to institutional, federal, and sponsor policies governing clinical research payment processing and revenue documentation.