RN Revenue Cycle Audit & Post-Payment Appeals Specialist
Northwestern Memorial Hospital
Northwestern Medicine seeks a Licensed Registered Nurse in Chicago to handle appeals on insurance denials, manage CMS audits, and provide critical financial analysis to ensure compliance and prepare for audits. The ideal candidate will have at least 3 years of experience in acute care or audit roles, familiarity with Miliman/Interqual guidelines, and strong analytical and communication skills. Benefits and support are offered to ensure employee well-being. #J-18808-Ljbffr Northwestern Medicine
- ...standards. This position works to recover lost revenue as a result of post payment denials and to perform charge / record audits received from the government or other third... ...position receives, interprets and facilitates appeals on insurance denials post payment, including...SuggestedContract workLocal areaRelocation package
- ...Overview FT Revenue Cycle Specialist - Oversees the revenue cycle of our not-for-profit company; billing for private pay, Medicare, and secondary insurances. Receive cash collections and complete bank deposits. Follow-up with delinquent accounts and the collection process...SuggestedWork experience placement
$100k - $145k
...As an Associate with our Healthcare Mid Revenue Cycle Analytics team, you will lead one or more... ...fee schedules, IPPS, OPPS, and related payment modelsExperience interpreting payer contracts... ...pay for this job at the time of the job posting. The actual salary paid to an individual...SuggestedWork at officeLocal areaRemote work- UChicago Medicine seeks a Revenue Cycle Financial Specialist responsible for managing patient accounts, verifying insurance, and guiding patients through the financial processes. This full-time role entails collaboration with various departments to ensure patient needs...SuggestedRemote jobFull time
- Life Ambulance Network is seeking an AR Revenue Cycle Collections Specialist in Skokie, Illinois, to manage unpaid and underpaid ambulance claims. The role focuses on resolving denials and ensuring compliance with payer guidelines while leveraging excellent analytical...Suggested
- 10 HOSP Ann & Robert H. Lurie Children’s Hospital of Chicago is looking for a Revenue Cycle Learning Specialist to enhance the learning and development program in healthcare operations. This role involves applying adult learning principles, developing training materials...
$70k - $85k
...Reimbursement Specialist, Appeals Belay Diagnostics is an innovative, clinical lab working to... ...medical billing, insurance appeals, or revenue cycle management. ~ Demonstrated... ...Maintain accurate documentation for audit readiness and compliance with HIPAA and...Full timeWork at officeLocal area- ...Rcm Appeals Specialist We are seeking a dedicated RCM Appeals Specialist to join a pioneering... ...: Work closely with clinical and revenue cycle teams to gather and present comprehensive... ...activities and outcomes. Ensure readiness for audits and compliance with HIPAA regulations....Work at office
$17.99 - $28.78 per hour
...Medicare compliance reviews and patient registrations as part of their healthcare access team. Responsibilities include collecting payments, coordinating with insurance companies, and ensuring a high level of customer service. Qualified candidates should have strong...$100k - $145k
Huron Consulting Group Inc. is looking for an Associate in Healthcare Mid Revenue Cycle Analytics. This role involves designing healthcare data analyses, executing analytical processes, and generating actionable insights to support client decision-making across healthcare...Remote job$100k - $145k
Role Overview As a Healthcare Consulting Associate in the Mid Revenue Cycle team, you will partner with project teams and client stakeholders to design and implement effective solutions that advance clinical and financial outcomes. Responsibilities Partner with project...Work at office$22 - $26 per hour
...Job Title: Reimbursement Specialist - Liability Industry... ...maintaining efficient and accurate revenue cycle operations. Job... ...claims to ensure timely payment Maintain thorough documentation... ...denials and coordinate appeals with appropriate supporting...Full timeWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hours- ...Revenue Reimbursement Specialist The Revenue Reimbursement Specialist works... ...processed by auditing accounts to check on proper payments, coding, balances, adjustments... ...perform the appropriate appeals necessary for... ...in Healthcare Revenue Cycle Strong problem-solving...Contract workTemporary workFlexible hours
- Nivram-Management is seeking a full-cycle Accounts Payable Specialist to handle purchasing, invoice processing, and vendor payments in our healthcare organization located in Lincolnwood, Illinois. The ideal candidate will have at least 2 years of accounts payable or accounting...
$65.52k - $107.12k
...Chicago is ranked in all 10 specialties by the U.S. News & World Report. Location 680 Lake Shore Drive Job Description The Revenue Cycle Learning Specialist supports the design, delivery, and continuous improvement of the Revenue Cycle Learning & Development program....Hourly payFull timePart timeWork at officeFlexible hours$65.52k - $107.12k
## Rev Cycle Learning SpecialistApplylocations: Streeterville, Chicago, ILtime type: Full timeposted on: Posted Todayjob requisition id: JR2026-1682Ann & Robert H. Lurie... ...Shore Drive**Job Description**The Revenue Cycle Learning Specialist supports the design, delivery,...Hourly payFull timePart timeWork at office- Nivram Management, located in Lincolnwood, Illinois, is seeking a full-cycle Accounts Payable Specialist to handle purchasing, invoice processing, and vendor payments for our healthcare organization. The ideal candidate will have at least 2 years of experience in accounts...
- Northwestern Memorial Healthcare is looking for a Financial Clearance Specialist who embodies the Patients First philosophy to ensure excellent service and patient engagement. This role requires 2-3 years of previous hospital billing or customer service experience, adherence...
- Philips Iberica SAU is seeking a Reimbursement Specialist in Chicago, IL to manage insurance claims and resolve denials effectively. This role involves working closely with payers to ensure timely reimbursements and analyze trends in reimbursement. The ideal candidate...
- Dormont Manufacturing Co is seeking a Reimbursement Specialist in Chicago. This role involves leading the resolution of complex insurance claims while optimizing financial performance and operational success. The right candidate will have at least 2 years of experience...
$46.74k - $66.11k
...RCM in Chicago is seeking an Insurance Discovery Specialist. In this role, you will support R1's Insurance Discovery... ..., thus improving billing accuracy and increasing revenue recovery. The ideal candidate will have revenue cycle experience and proficient Excel skills. A target...- Diversified Health Care Affiliates, Inc. is currently seeking third party medical collectors with CUBs and/or FACs software experience. This position requires that the successful candidate be able to work Monday, Wednesday, Thursday, Friday 8:30 a.m. to 5:30 p.m. and Tuesday...Work at officeRemote workMonday to Friday
$26 - $41 per hour
Philips Iberica SAU is seeking a Reimbursement Specialist to lead the resolution of complex insurance claims and drive reimbursements in Chicago, IL. The role requires a minimum of 2 years’ experience in Accounts Receivable Management or denial management, alongside proficiency...Hourly payWork at office- CyberSearch is seeking a Charge Review Specialist to ensure the integrity of hospital billing processes. This role requires extensive... ...Degree with relevant experience or a GED with additional extensive experience in healthcare revenue cycles. #J-18808-Ljbffr CyberSearchRemote job
$23 - $27 per hour
...nationwide Back 3d Follow Up Specialist #2827 United States Apply X... ...resolve issues and expedite payment. Tell us about your experience... ...claim issues. Identify and appeal denied or underpaid claims... ...billing, insurance follow-up, or revenue cycle operations. Knowledge of...Remote jobPermanent employmentFull timeTemporary workMonday to Friday$26.44 - $36.06 per hour
...records, resolve coding‑related denials, and audit coders to ensure coding accuracy... ...with physicians, Clinical Documentation Specialists, or other healthcare providers to clarify... ...from various sources. Familiarity with revenue cycle systems and deep understanding of...Hourly payPermanent employmentWork at officeDay shift- ...to the most ambitious startups—use the company to accept payments, grow their revenue, and accelerate new business opportunities. Our mission is... ...the most important work of your career. About The Team Specialist Solutions Architects (SSA) are domain experts aligned to...
$27 - $33 per hour
...operate. As a Workplace Health & Safety Specialist (WHSS), you'll be at the forefront of transforming... ...-driven strategies. Lead daily safety audits, incident investigations, and risk... ...Amazon package will include sign-on payments and restricted stock units (RSUs). Final...Hourly payFlexible hoursShift workNight shiftWeekend work- ...Coding Auditor will be responsible for the auditing of inpatient coders and auditing of... ...from various sources. Familiarity with revenue cycle systems and processes. Desire to work... ...Required Certifications: Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC...Permanent employmentWork at officeDay shift
$100k - $130k
...3-5+ years of relevant experience in healthcare (preferred in Revenue Cycle) ~ Proven analytical skills particularly with large, comprehensive... ...reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on...Remote jobLocal areaImmediate start
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