Audit medical and billing records to determine if services provided are reasonable, appropriate and ... controlled growth/reinvestment in the future - we frequently promote from within! * Opportunity to ...
Audit medical and billing records to determine if services provided are reasonable, appropriate and ... controlled growth/reinvestment in the future - we frequently promote from within! * Opportunity to ...
$50K - $150K/yr
You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior ... Review and authorize prescriptions, including controlled substances when legally permitted and ...
$50K - $150K/yr
You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior ... Review and authorize prescriptions, including controlled substances when legally permitted and ...
IQ-EQ and its commercial team will source the work and provide you with work opportunities billable ... for Controllers / CFOs, Interim CFO / Controller, Fund Launch Consulting/Coordination, Fund ...
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IQ-EQ and its commercial team will source the work and provide you with work opportunities billable ... for Controllers / CFOs, Interim CFO / Controller, Fund Launch Consulting/Coordination, Fund ...
New
Finance Operations Associate
Chicago, IL · On-site +1
Issue precise client invoices, handle bills, and process payments aligned with customer journeys ... Tom Tison, Controller ConceiveAbilities is an equal opportunity employer.
Finance Operations Associate
Chicago, IL · On-site +1
Issue precise client invoices, handle bills, and process payments aligned with customer journeys ... Tom Tison, Controller ConceiveAbilities is an equal opportunity employer.
Hybrid Pharmacist - 4 Days Retail/1 Day Remote (Middle Tennessee)
Deerfield, IL · On-site +1
$133K - $162K/yr
... billing, clinical documentation, training, inventory management, and POS registers). * Processes ... state and federal controlled substance laws. * Certified Immunizer or willing to become an ...
Hybrid Pharmacist - 4 Days Retail/1 Day Remote (Middle Tennessee)
Deerfield, IL · On-site +1
$133K - $162K/yr
... billing, clinical documentation, training, inventory management, and POS registers). * Processes ... state and federal controlled substance laws. * Certified Immunizer or willing to become an ...
Hybrid Pharmacist - 4 Days Retail/1 Day Remote (East TN)
Deerfield, IL · On-site +1
$133K - $162K/yr
... billing, clinical documentation, training, inventory management, and POS registers). * Processes ... state and federal controlled substance laws. * Certified Immunizer or willing to become an ...
Hybrid Pharmacist - 4 Days Retail/1 Day Remote (East TN)
Deerfield, IL · On-site +1
$133K - $162K/yr
... billing, clinical documentation, training, inventory management, and POS registers). * Processes ... state and federal controlled substance laws. * Certified Immunizer or willing to become an ...
Hybrid Pharmacist - 4 Days Retail/1 Day Remote (Memphis, TN)
Deerfield, IL · On-site +1
$133K - $162K/yr
... billing, clinical documentation, training, inventory management, and POS registers). * Processes ... state and federal controlled substance laws. * Certified Immunizer or willing to become an ...
Hybrid Pharmacist - 4 Days Retail/1 Day Remote (Memphis, TN)
Deerfield, IL · On-site +1
$133K - $162K/yr
... billing, clinical documentation, training, inventory management, and POS registers). * Processes ... state and federal controlled substance laws. * Certified Immunizer or willing to become an ...
Manager, Accounting Advisory - Skilled Nursing Industry Clients
Naperville, IL · On-site +1
$113K - $153K/yr
In this role, you will provide controller-level advisory by delivering strategic financial insights ... Visit her LinkedIn Page to connect! #LI-REMOTE #LI-CV1 Additional Details Additional Details:
Manager, Accounting Advisory - Skilled Nursing Industry Clients
Naperville, IL · On-site +1
$113K - $153K/yr
In this role, you will provide controller-level advisory by delivering strategic financial insights ... Visit her LinkedIn Page to connect! #LI-REMOTE #LI-CV1 Additional Details Additional Details:
Accounts Payable Supervisor
Arlington Heights, IL · On-site +1
$80K - $100K/yr
Review and set up vendor payments to be made on a daily/weekly basis with Controller. * Post ... Reconcile the accounts payable ledger to ensure that all bills and payments are accounted for and ...
Accounts Payable Supervisor
Arlington Heights, IL · On-site +1
$80K - $100K/yr
Review and set up vendor payments to be made on a daily/weekly basis with Controller. * Post ... Reconcile the accounts payable ledger to ensure that all bills and payments are accounted for and ...
Accounts Payable Supervisor
Arlington Heights, IL · On-site +1
$80K - $100K/yr
Review and set up vendor payments to be made on a daily/weekly basis with Controller. * Post ... Reconcile the accounts payable ledger to ensure that all bills and payments are accounted for and ...
Accounts Payable Supervisor
Arlington Heights, IL · On-site +1
$80K - $100K/yr
Review and set up vendor payments to be made on a daily/weekly basis with Controller. * Post ... Reconcile the accounts payable ledger to ensure that all bills and payments are accounted for and ...
Shape how projects are delivered across the firm At least 75% of your billable time will be ... Stamp/certify deliverables when licensed Monitoring & Controlling * Track WIP, budget vs. actuals ...
Shape how projects are delivered across the firm At least 75% of your billable time will be ... Stamp/certify deliverables when licensed Monitoring & Controlling * Track WIP, budget vs. actuals ...
Manager, Accounting Advisory - Construction Industry Clients
Naperville, IL · On-site +1
$113K - $153K/yr
... controller-level advisory and lead key client engagements. In this role, you will serve as the ... Rooted in the Wipfli Way, this opportunity allows you to lead a remote team, mentor staff, and make ...
Manager, Accounting Advisory - Construction Industry Clients
Naperville, IL · On-site +1
$113K - $153K/yr
... controller-level advisory and lead key client engagements. In this role, you will serve as the ... Rooted in the Wipfli Way, this opportunity allows you to lead a remote team, mentor staff, and make ...
Construction Bodily Injury Claim Specialist
Naperville, IL · On-site +1
$107K - $161K/yr
... bill review. Attending trials and mediations, as necessary. Contributing to broader claim and ... Candidates who do not live near an office will have a remote work arrangement, with the expectation ...
Construction Bodily Injury Claim Specialist
Naperville, IL · On-site +1
$107K - $161K/yr
... bill review. Attending trials and mediations, as necessary. Contributing to broader claim and ... Candidates who do not live near an office will have a remote work arrangement, with the expectation ...
Manager, Accounting Advisory - Skilled Nursing Industry Clients
Naperville, IL · Remote
$113K - $153K/yr
... controller and support our skilled nursing industry clients. In this role, you will provide ... Visit her LinkedIn Page to connect! #LI-REMOTE #LI-CV1 Additional Details: Wipfli is an equal ...
Manager, Accounting Advisory - Skilled Nursing Industry Clients
Naperville, IL · Remote
$113K - $153K/yr
... controller and support our skilled nursing industry clients. In this role, you will provide ... Visit her LinkedIn Page to connect! #LI-REMOTE #LI-CV1 Additional Details: Wipfli is an equal ...
Design Engineer
Downers Grove, IL · On-site +1
$72K - $95K/yr
Supports external customers with occasional on-site or remote real-time problem-solving. Essential ... Develop product documentation (bills of material, 2D/3D product drawings, product specifications ...
Design Engineer
Downers Grove, IL · On-site +1
$72K - $95K/yr
Supports external customers with occasional on-site or remote real-time problem-solving. Essential ... Develop product documentation (bills of material, 2D/3D product drawings, product specifications ...
Design Engineer
Downers Grove, IL · On-site +1
$72K - $95K/yr
Supports external customers with occasional on-site or remote real-time problem-solving. Essential ... Develop product documentation (bills of material, 2D/3D product drawings, product specifications ...
Design Engineer
Downers Grove, IL · On-site +1
$72K - $95K/yr
Supports external customers with occasional on-site or remote real-time problem-solving. Essential ... Develop product documentation (bills of material, 2D/3D product drawings, product specifications ...
Design Engineer
Downers Grove, IL · On-site +1
$72K - $95K/yr
Supports external customers with occasional on-site or remote real-time problem-solving. Essential ... Develop product documentation (bills of material, 2D/3D product drawings, product specifications ...
Design Engineer
Downers Grove, IL · On-site +1
$72K - $95K/yr
Supports external customers with occasional on-site or remote real-time problem-solving. Essential ... Develop product documentation (bills of material, 2D/3D product drawings, product specifications ...
Manager, Accounting Advisory - Skilled Nursing Industry Clients
Naperville, IL · On-site +1
$113K - $153K/yr
... controller and support our skilled nursing industry clients. In this role, you will provide ... Visit her LinkedIn Page to connect! #LI-REMOTE #LI-CV1 Additional Details Additional Details:
Manager, Accounting Advisory - Skilled Nursing Industry Clients
Naperville, IL · On-site +1
$113K - $153K/yr
... controller and support our skilled nursing industry clients. In this role, you will provide ... Visit her LinkedIn Page to connect! #LI-REMOTE #LI-CV1 Additional Details Additional Details:
$150K - $300K/yr
You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior ... controlled substances. * Community of Clinical Excellence: You will work alongside the most ...
$150K - $300K/yr
You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior ... controlled substances. * Community of Clinical Excellence: You will work alongside the most ...
$300K - $500K/yr
You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior ... controlled substances. * Community of Clinical Excellence: You will work alongside the most ...
$300K - $500K/yr
You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior ... controlled substances. * Community of Clinical Excellence: You will work alongside the most ...
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Nurse Auditor - Medical Bill Review (Remote)
Chicago, IL • On-site, Remote
Full-time
Medical, Retirement, PTO
Re-posted 26 days ago
Job description
Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and erroneous charges. We pride ourselves on outstanding customer service and work hard to keep our impeccable reputation in the industry.
In this role, you'll be a part of our mission by giving clients the information they need to determine case value based on evaluation of medical records and medical billing statements, and will:
- Audit medical and billing records to determine if services provided are reasonable, appropriate and necessary.
- Clinically identify and evaluate any charges not related to the occurrence.
- Verify that charges are in accordance with the services ordered and authorized.
- Initiate appropriate contacts with clients and medical providers as appropriate and necessary.
- Negotiate bills and conduct re-evaluation reviews as required
All while maintaining a human touch, demonstrating sensitivity to culturally-diverse people and situations.
Requirements
- RN (or LPN) with active professional license or equivalent within states of operation
- CPC and/or CPC-H certification(s) strongly desired
- Specialized training in hospital coding, ortho, neuro, rehab, or ER procedures
- 3-5 years of clinical experience in acute care, surgery and/or orthopedic
- Workers' Compensation medical bill review experience a major plus
- Understanding of CPT and ICD-10 codes and Medicare guidelines
- Ability to apply knowledge to state fee schedules
- A customer service orientation, including strong communication skills
- Experience in any deposition or litigation cases a plus
Benefits
- Competitive benefits package, including health insurance, 401(k) with company match, paid time off, paid holidays, and more.
- Flexible hybrid schedule with in-office days reserved for training and collaborative meetings
- Employment within a firm committed to core values, staff development, emerging technology, private ownership, and controlled growth/reinvestment in the future - we frequently promote from within!
- Opportunity to make a difference in reducing health care costs and increasing the value of health care to individuals and their employers.
- A relaxed, yet upbeat work environment
- And for those in the office: casual dress code with unlimited coffee!
About Rising Medical Solutions
Sourced by ZipRecruiter
Industry
Insurance services
Company size
201 - 500 Employees
Headquarters location
Chicago, IL, US
Year founded
1999