DRG Clinical Validation Lead Elevance HealthDRG Clinical Validation LeadChicago, IL$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Claims and Research Analyst Zing HealthClaims and Research AnalystIL$64,000–$74,000 / yearMember-centric Impact Statement: From the first day of coverage through every claim and service interaction, Zing Core Operations is meant to reduce friction, fix problems quickly, and ensure members get the help and benefits they've earned-especially during high-stress moments. Supports claims editing escalated provider disputes/appeals and provides guidance across all areas of the company with regards to claims editing and proper coding, billing, and payment.
Division Administrator II - Otolaryngology, Head and Neck Surgery Ann & Robert H. Lurie Children's Hospital of ChicagoDivision Administrator II - Otolaryngology, Head and Neck SurgeryChicago, IllinoisIn collaboration with the Division Head, Clinical Practice Director, and Medical Directors and Section Heads (as appropriate) of the divisions, manages faculty effort allocation (time allocated to each mission - clinical, administrative, research and educational effort), activity planning for each of those missions and productivity management for all faculty and providers. In collaboration with the Division Head, Clinical Practice Director, Fellowship Program Director and Medical Directors and Section Heads (as appropriate) of the divisions, this individual will work with other hospital and medical group leaders to strategically align and integrate our goals and activities in clinical care, research, teaching and advocacy to achieve maximum measurable impact.
Weekend Program MRI Tech (Sat and Sun 12 hour Day shift) Advocate Aurora Health IncWeekend Program MRI Tech (Sat and Sun 12 hour Day shift)Park Ridge, ILProviding 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.
Healthcare Revenue Cycle Advisory and Solution Engineering Team Lead U.S. BancorpHealthcare Revenue Cycle Advisory and Solution Engineering Team LeadChicago, IL$158,310–$193,490 / yearThe Healthcare Revenue Cycle Advisory and Solution Engineering Team Lead reports to the PMI Healthcare Head and operates as a player/coach responsible for leading a team of healthcare industry subject matter experts focused on healthcare payments, revenue cycle operations, treasury optimization, and healthcare technology integration. This client-facing leadership role is responsible for developing advisory strategies, thought leadership content, and industry best practices that help healthcare organizations improve financial performance and operational efficiency across the revenue and payment lifecycle.
Healthcare Treasury And Revenue Cycle Advisory Team Lead US BankHealthcare Treasury And Revenue Cycle Advisory Team LeadChicago, IL$158,310–$193,490 / yearThe Healthcare Revenue Cycle Advisory and Solution Engineering Team Lead reports to the PMI Healthcare Head and operates as a player/coach responsible for leading a team of healthcare industry subject matter experts focused on healthcare payments, revenue cycle operations, treasury optimization, and healthcare technology integration. This client-facing leadership role is responsible for developing advisory strategies, thought leadership content, and industry best practices that help healthcare organizations improve financial performance and operational efficiency across the revenue and payment lifecycle.
Interpreter for the Deaf and Hard of Hearing Illinois Association of School AdministratorsInterpreter for the Deaf and Hard of HearingILCottage Hills, IL 62018 Phone (618)462-1031 Fax (618)462-1035 IASA Region Southwestern County Madison Employment Type Full-time permanent Job Category Other Non-Certified Staff Grade Level Elementary. Hold a current, valid Illinois Board for Evaluation of Interpreters (IL BEI) Basic Certification or higher issued by the Illinois Deaf and Hard of Hearing Commission (IDHHC).
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementChicago, ILRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
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.
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.
Security ID Badge Coordinator-Advocate Christ Hospital & Medical Center Advocate Aurora Health IncSecurity ID Badge Coordinator-Advocate Christ Hospital & Medical CenterOak Lawn, IL$19.80–$29.70 / hour4)Responsbile for updating the daily/weekly tally sheet to capture the number of ID and card key access requests for new hires, associates, students/faculty, physician/residents, contractors, volunteers, other and access only requests. Providing 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.
Manager, Financial Reporting Physician Practice Clients Wipfli LLPManager, Financial Reporting Physician Practice ClientsNaperville, ILRemote$97,000–$145,000 / yearWipfli LLP is a licensed independent CPA firm that provides attest services to its clients, and Wipfli Advisory LLC provides tax and business consulting services to its clients. The actual salary at the time of offer depends on business related factors like location, skills, experience, training/education, licensure, certifications, business needs, current associate pay, and relevant employment laws.
Field Reimbursement Manager Syneos - Commercial - ProdField Reimbursement ManagerChicago, IL$150,000–$160,000 / year5+ years’ experience pharmaceutical and/or biotech experience and 2+ years’ relevant experience in the following: patient journey navigation, payer, reimbursement, medical billings & coding, specialty pharmacy & distribution, and patient support services engagement. Provide information to HCP on how the products are covered under the benefit design and educate key private and public payer coverage and changes that impact the products access for patients.
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.
Manager of Revenue Cycle La Rabida Children's HospitalManager of Revenue CycleChicago, ILOur 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. A critical component of this role includes leading the department through a transition from legacy systems (Meditech and Athena) to an Epic platform, while maintaining expert compliance with Illinois Medicaid regulations and pediatric-specific billing requirements.
Financial Navigator Affiliated OncologistsFinancial NavigatorChicago Ridge, Illinois$20–$30 / hourThis role is responsible for proactively identifying, pursuing, and securing every available financial resource to ensure that no patient delays or forgoes cancer treatment due to cost. Our multidisciplinary team includes doctors and advanced practice providers specializing in medical oncology, hematology, radiation oncology, gynecologic oncology, and gynecologic surgery.
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.
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.
Financial Resource Specialist MercyhealthFinancial Resource SpecialistRiverside, IllinoisThis role works closely with patients, insurance companies, and healthcare teams to resolve billing concerns, ensure accurate payments, and provide excellent customer service in a fast-paced environment. Help patients understand and manage their healthcare bills by reviewing accounts, explaining insurance coverage, setting up payment plans, and connecting patients with financial assistance resources.
Senior Product Manager (PM/RCM) - Full Time - Remote Experity IncSenior Product Manager (PM/RCM) - Full Time - RemoteILRemote$107,750–$151,400 / yearResponsibilities: Own day-to-day execution of the Revenue Cycle Management product roadmap, ensuring on-time delivery of capabilities across charge capture, coding, claim creation and submission, payer processing, payment posting, denial management, accounts receivable, patient balances, reporting, and related billing workflows. Deep knowledge of healthcare revenue cycle management, including charge capture, coding, claim submission, clearinghouses, payer adjudication, remittance processing, denial management, accounts receivable, and payment posting.