Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield AssociationClinical Coding Analyst RN, ConsultantChicago, ILIn this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.
Senior Data & Analytics Engineer Info Way Solutions LLCSenior Data & Analytics EngineerDeerfield, ILStatistical Modeling & Machine Learning Apply advanced statistical methods and prototype predictive ML models to address healthcare challenges like patient risk stratification, readmission rates, and pharmacy supply chain optimization. You will be responsible for building robust data infrastructure to handle complex clinical and pharmacy datasets, architecting scalable data pipelines, developing predictive models, and optimizing our cloud data stack.
NewPhlebotomist / Administrative Assistant 1Life Healthcare IncPhlebotomist / Administrative AssistantChicago, IL$22.75–$24.75 / hourWhat you'll likely work on: Use impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all patient interactions, both clinical and administrative, and ensure a fluid and positive in-office experience through patient intake, same day schedule management, appropriate follow up scheduling, strong knowledge of billing and insurance, monitoring patient feedback and assisting with outreach as necessary. As a One Medical Phlebotomist/Administrative Assistant (internally known as Lab Services Specialist/Member Support Specialist) at one of our offices, you'll provide an exceptional experience for our patients and help them accomplish an important part of their care journey by providing venipuncture as well as other clinical support services.
Project Assistant GTTProject AssistantChicago, ILThe Project Assistant supports engineering and construction projects by providing administrative and coordination support to project managers and teams. This role ensures project documentation, communication, and tracking systems are maintained effectively while supporting daily operational needs.
NewPharmacy Benefit Verification Specialist Onco360Pharmacy Benefit Verification SpecialistWoodridge, IllinoisSkills/Knowledge: Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. Pharmacy Benefit Verification Summary The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs.
Float PST Specialist Labcorp Holdings IncFloat PST SpecialistChicago, IL$17.75–$24.50 / hourIf you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data.
PST SPECIALIST - Phlebotomist Labcorp Holdings IncPST SPECIALIST - PhlebotomistHinsdale, IL$17.50–$24.50 / hourLabcorp is a global leader in diagnostic testing and drug development solutions, helping healthcare providers, researchers, and patients make informed decisions that advance care. If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility.
PST Specialist Labcorp Holdings IncPST SpecialistEvanston, IL$17.50–$24.50 / hourLabcorp is a global leader in diagnostic testing and drug development solutions, helping healthcare providers, researchers, and patients make informed decisions that advance care. All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data.
Associate, Process Manager Capital One Financial CorpAssociate, Process Managerriverwoods, IL$73,300–$83,700 / yearGeneral Responsibilities: Network & Gateway Fee Auditing: Review, reconcile, and audit complex monthly invoices from payment gateways, acquiring banks, and card networks (interchange fees, assessment fees, gateway processing fees). In this role, you will be responsible for tracking, auditing, and processing complex transaction fee structures from major card networks (Visa, Mastercard) and payment gateways (e.g., Stripe, Adyen, Authorize.net).
Co-Founder & CEO - AI LegalTech | AI-Native Litigation Defence Operations FutureSightCo-Founder & CEO - AI LegalTech | AI-Native Litigation Defence OperationsChicago, ILRemoteYou’ll co-create with a proven studio team, led by John Carbrey (4x entrepreneur, $100M ARR), Krista LaRiviere (3x exited, E&Y Top Women Entrepreneur), Alan Smith (Strategyzer co-founder, $120M in products built), Prathna Ramesh (former MD of Maple Leaf Angels, $275M in follow-on capital), and Johnny Tong (0-to-1 builder, acquired by SAP and Stripe) bring a rare combination of operator exits, institutional investing, and AI product depth. Product — Partner with the FutureSight product and engineering team to ship V1 (records retrieval, key-fact flagging, billing-reasonableness analysis, and discovery triage) and iterate on user feedback; sequence carrier reserving and prediction as a later phase.
EMS Biller and Coder Paramedic Billing ServicesEMS Biller and CoderElmhurst, Illinois$19–$23 / hourFull timeR eviews Patient Care Report thoroughly, utilizing all available documentation to establish medical necessity, selection of levels of service, origin/destination modifiers and the patient’s condition at time of transport. Keeps an open line of communication with internal and external departments in a professional, tactful manner to obtain missing documentation or to clarify existing documentation.
NewPharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistWoodridge, IllinoisSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Clinical Documentation Specialist Clarity PartnersClinical Documentation SpecialistChicago, IL$50,000–$65,000 / yearExperience with acute care (inpatient) medical record review (concurrent) of diagnoses, treatments, and follow-up entries in medical records to validate the accuracy of patient medical record documentation, obtaining missing information via a query when necessary, so accounts can be coded and billed appropriately for the services provided. You will facilitate necessary documentation through extensive interaction with physicians, HIM, and coding staff to ensure the most appropriate reimbursement and highest level of severity of illness/risk of mortality (SOI/ROM) for the level of service rendered to all patients.
Project Manager Solventum Revenue Cycle Management Implementation Pyramid Consulting, IncProject Manager Solventum Revenue Cycle Management ImplementationChicago, ILRemote$60–$65 / hourKey Responsibilities: Summary- The Project Manager will lead end-to-end implementation of Solventum Revenue Cycle Management solutions, coordinating internal teams, client stakeholders, and third-party vendors to ensure successful delivery on time, within scope, and within budget. The role requires strong healthcare IT project leadership, especially across complex RCM workflows, integrations, change management, and post-go-live support.
Revenue Integrity Team Lead University of ChicagoRevenue Integrity Team LeadBurr Ridge, IL$80,000–$105,000 / yearThe qualified individual will work to achieve overall revenue cycle expectations that comply with larger UCPG organizational goals and Compliance Department expectations, as well as utilize project and people management skills, clinical practice knowledge, and an understanding of documentation and coding requirements to support improvement in practice processes and compliance. The Revenue Integrity Team Lead provides support to providers and clinic staff for CPT, ICD-10-CM, and HCPCS coding systems, and acts as a liaison between the off-sites and departments and related educational activities around coding, billing and compliance.
NewBenefits & Leave Specialist (m/f/d) Nordex SEBenefits & Leave Specialist (m/f/d)Chicago, ILThis role serves as the primary point of contact for employees, managers, vendors, insurance carriers, and third-party administrators regarding employee benefits, disability, leaves of absence, workers' compensation, and return-to-work programs. The role of Benefits & Leave Specialist directly supports the company's mission to develop and deliver clean power plants that make 100% renewable energy a reality for the world.
NewBenefits & Leave Specialist (M/F/D) Nordex SEBenefits & Leave Specialist (M/F/D)Chicago, ILThis role serves as the primary point of contact for employees, managers, vendors, insurance carriers, and third-party administrators regarding employee benefits, disability, leaves of absence, workers' compensation, and return-to-work programs. The role of Benefits & Leave Specialist directly supports the company's mission to develop and deliver clean power plants that make 100% renewable energy a reality for the world.
Benefits and Leave Specialist Lead NOCDBenefits and Leave Specialist LeadChicago, IllinoisThat's why we're looking for a Benefits & Leave Specialist who is passionate about creating a positive employee experience and helping team members navigate some of life's most important moments. In this role, you'll be the go-to partner for benefits administration and leave coordination, helping employees understand their options, guiding them through the leave process, and ensuring everything runs smoothly behind the scenes.
Front Office Coordinator JRA StaffingFront Office CoordinatorLemont, ILThe office is looking for a team member with a strong background in dental insurance coordination, insurance verification, and payment entry who can help ensure a smooth financial and administrative experience for both patients and the practice. This is an excellent opportunity for a Front Office Coordinator who enjoys building relationships with patients, supporting daily office operations, and being part of a collaborative team committed to exceptional patient care.
DRG Coding Auditor - MS-DRG and APR-DRG Elevance HealthDRG Coding Auditor - MS-DRG and APR-DRGChicago, IllinoisRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.