Senior Compliance Auditor - RN Elara CaringSenior Compliance Auditor - RNChicago, IL$80,000–$90,000 / yearAttends audit findings calls, as needed, and assists in the development of corrective action plans, ensuring implementation of corrective actions in a timely fashion including corrective actions relating to internal compliance reviews, oversight audits and regulatory audits. As a Senior Compliance Auditor you'll contribute to our success in the following ways: Displays readiness to participate in all comprehensive or stratified audits related to skilled home health, hospice, palliative care, personal care services ("PCS") and behavioral health.
Revenue Integrity Chargemaster Analyst Ann & Robert H Lurie Children's Hospital of ChicagoRevenue Integrity Chargemaster AnalystChicago, IL$65,520–$107,120 / yearUpdates the CDM annually based on changes published by the AMA (American Medical Association) via CPT guidelines; updates quarterly based on CMS (Centers for Medicare and Medicaid) guidelines for HCPCS codes (Healthcare Common Procedure Coding System). Performs job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers and others.
NewCharge Capture Specialist I Advocate Aurora Health IncCharge Capture Specialist IOak Brook, ILRemote$25.30–$37.95 / hourProviding care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise.
Credentialing & Patient Accounts Specialist La Rabida Children's HospitalCredentialing & Patient Accounts SpecialistChicago, ILSUMMARY: A Credentialing and Patient Accounts Specialist verifies healthcare provider credentials, manages enrollment with payers, tracks license and certification expirations, and supports patient account activities to ensure compliance and smooth billing operations. Our not-for-profit hospital, licensed for 49 beds, helps transition children from neonatal or pediatric intensive care to home, by providing medical, rehabilitative and developmental care, and by training families to continue treatments and manage the necessary equipment in the home.
Customer Service Representative Quipt Home Medical CorpCustomer Service RepresentativeBuffalo Grove, IL$21–$25 / hourAs a Customer Service Representative, you are a direct point of contact for any patient, care giver, referral source, or commercial account that contacts Care Medical either in person, over the telephone or via the internet, to provide equipment and/or services. Neat personal appearance with pleasing manner and interpersonal skills · Strong communication skills with capacity to make independent decisions · Medicare/Medicaid and insurance billing, bookkeeping or medical office experience preferred.
Patient Registration Specialist I - second shift Ann & Robert H. Lurie Children's Hospital of ChicagoPatient Registration Specialist I - second shiftChicago, IllinoisPerforms job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers and others. 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.
Revenue Integrity Chargemaster Analyst Ann & Robert H. Lurie Children's Hospital of ChicagoRevenue Integrity Chargemaster AnalystChicago, IllinoisUpdates the CDM annually based on changes published by the AMA (American Medical Association) via CPT guidelines; updates quarterly based on CMS (Centers for Medicare and Medicaid) guidelines for HCPCS codes (Healthcare Common Procedure Coding System). Performs job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers and others.
Part-time Biller/Coder - Claims Analyst Alera GroupPart-time Biller/Coder - Claims AnalystChicago, IllinoisRemoteThe Part-time Biller/Coder - Claims & Alert/Trigger Criteria supports Vital Oversight's continuous monitoring of medical and pharmacy claims by reviewing claims for coding accuracy and reimbursement appropriateness and by developing and maintaining alert and trigger logic that identifies high-risk or outlier claims. This role works collaboratively with claims, clinical, and oversight stakeholders to surface actionable findings that support proactive cost and payment integrity oversight.
Project Manager Show Site Freeman Decorating Services, Inc.Project Manager Show SiteChicago, IL$80,000–$95,000 / yearThe Project Manager - Show Site applies industry knowledge to communicate and harmonize Freeman client's production requirements; improving efficiencies, controlling costs and providing a seamless flow of information. Collaborate with the Digital Services Lead and Streaming Lead (if needed) team to ensure a transparent, collaborative, and supportive integration with virtual offerings.
Patient Services Specialist SimonMed ImagingPatient Services SpecialistOswego, IllinoisReliability, accountability, and problem-solving: You take ownership of your work, follow through on commitments, consistently arrive prepared and ready to support the team, contribute to a positive culture, and help resolve scheduling, billing, and patient flow issues while maintaining a positive patient experience. Strong communication and team-oriented approach: You communicate clearly, listen actively, support patients and teams with professionalism and empathy, and contribute to smooth, collaborative front desk operations.
Denials Management Specialist Endeavor HealthDenials Management SpecialistArlington Heights, IL$22.14–$33.21 / 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. Collaborates in the collection of data and sends monthly "Managed Care Denial Report" to appropriate department Leaders including: Physician Coding Manager; Physician Billing Manager and Director, VP of EEH Physician Practices and Vice President of EEH Revenue Cycle.
Registration & Financial Resolution Specialist - CST Elevate Patient Financial Solutions IncRegistration & Financial Resolution Specialist - CSTILBrings patient's accounts to resolution via immediate payment in full, setting up payment plans, post-dating payments, finding insurance, or offering settlements or discounts, as well as recognize appropriate reasons for patients to dispute balances. This position delivers exceptional customer service when communicating with patients over the phone to provide information and support related to patient services, including coordination and scheduling of diagnostic imaging and other procedures and treatments, as applicable.
Medical Receptionist 1Life Healthcare IncMedical ReceptionistChicago, ILWhat 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 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. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years.
Rehab Service Tech Admin. Specialist Inpatient Part Time Days Marianjoy Northwestern Memorial HealthCareRehab Service Tech Admin. Specialist Inpatient Part Time Days MarianjoyWheaton, ILNorthwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. Sign-on Bonus Eligibility (if sign-on bonus offered for position): Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign on bonus.
Medical Assistant / Reception / Medical Insurance Biller Anal Dysplasia Clinic MidWestMedical Assistant / Reception / Medical Insurance BillerChicago, ILWe are seeking a dedicated and multifaceted Medical Assistant to join our healthcare team, where you will play a crucial role in ensuring the smooth operation of our medical practice. - Communicate effectively with patients regarding medical instructions and follow-up care as instructed by healthcare providers.
Director of Clinical Compliance Thrive Physical Therapy PartnersDirector of Clinical ComplianceChicago, Illinois$125,000–$145,000 / yearFull timeYou will have the visibility and support to build Thrive’s clinical compliance infrastructure, influence how the organization evaluates new partnerships, and create systems that meaningfully reduce risk across a growing national platform. The strongest candidate will combine deep outpatient therapy compliance knowledge with the ability to build programs, perform detailed audit work, and influence leaders across a growing organization.
Medical Receptionist One Medical of NY, PCMedical ReceptionistChicago, ILWhat 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 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. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years.
NewEMS Biller and Coder Superior Air-Ground AmbulanceEMS 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.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Chicago, ILRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
NewFinancial Counselor Northwestern Memorial HealthCareFinancial CounselorChicago, ILWorks closely with Facility MANG Representatives, Insurance Verification Team, Case Management, Central Scheduling, Ambulatory Registration, Admitting and Registration Departments, and Physician Practices to expedite prompt and appropriate resolution of patient accounts. Provides walk-in availability for patients with financial concerns, facilitates payment arrangements including those for Package programs, and accepts payments as necessary.