20 jobs found in Chicago

Job Description 95k to 110k Job Description The Senior Compliance Auditor has the primary responsibility to conduct global sales and marketing compliance audits for the US operating divisions and international affiliates. Scope may include but not limited to compliance audits in the following broadly described areas: * Research Funding * No-Charge goods * HIPAA/Privacy Laws * FCPA * Anti-Bribery * Commercial Contracting/Pricing. Travel - 15% to 35% Domestic and International Qualifications What you will bring! * At least 3 years of experience with a major public accounting, consulting or law firm in a client-facing capacity * Broad knowledge and experience in FCPA and/or the healthcare industry * Bachelor's Degree in from a four-year college or university * 15 - 35% travel to international and U.S. locations Why is This a Great Opportunity Our client is one of the top global pharma's. This is a highly visible Leadership Development Rotation Program. You will spend 24 months in the...

Job Description Job Summary : The billing specialist is responsible for supporting the Integrative Medical Practice with duties and projects related to the billing function for the office. These duties and responsibilities include; coordination of day-to-day efforts and communication with our external billing partner, researching disputed invoices, fielding calls from patients and insurance companies, validating and processing customer refunds, posting of daily patient payments, daily use with the electronic medical record, daily closing and balancing of payments and receipts. Under the supervision of the Practice Administrator, this position requires an individual who has the ability to work independently, work well under pressure, is analytical, detail oriented, well organized and has excellent problem-solving skills. A high level of professionalism, and strong communication skills required. This role also will handle items related to laboratory billing, credentialing and...

Job Description Job Summary The Professional Fee Coder is part of a team which has full responsibility for the efficient and accurate flow of coded professional and technical charges. Coder applies the appropriate diagnoses and procedural codes and applicable modifiers to individual patient health information for data retrieval, analysis and claims processing. Works closely with clients to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers. Provides physicians routine feedback on documentation and compliance standards. - Conducts training for coding staff and providers. Resolves pre-bill edits and appropriate follow-up. Provide statistical data and/or trending to management. Exercises judgment within defined procedures and practices to determine appropriate action. Receives general instructions on routine work, detailed instructions on new assignments. Coding positions are remote. Coder is responsible for providing their own...

Job Description Experienced surgical facility biller with collection experience preferred. Both provider and professional billing/collection experience required. Company Description Multispecialty Medical/Surgical Group with Newly Refurbished ASTC (Licensed Multispecialty Surgical Center with CON) affiliated with Surgical/Medical services in Chicago. Hourly rate or salary negotiable. Company Description Multispecialty Medical/Surgical Group with Newly Refurbished ASTC (Licensed Multispecialty Surgical Center with CON) affiliated with Surgical/Medical services in Chicago.\r\nHourly rate or salary negotiable.

Job Description The Coding Network (TCN) is the country's premier coding and auditing company with over 850 single specialty physician coders and auditors. All of our coders and auditors work remotely from home, set their own hours, and can earn over 20% more than the average AAPC coder or auditor's salary. TCN's Orthopedic division is experiencing unprecedented growth and we need to contract with multiple new coders who can work as few as 15 hours a week. Our E&M division is also looking to add coders with Ortho E&M experience but does not have any immediate needs. All Coder applicants must: * Have a minimum of three (3) years of Orthopedic Surgical Specific Coding * Have an active coding certification (CPC, RHIA, RHIT, RCC) * Live and work in the United States of America * Take and pass TCN's Orthopedic Coding Exam If you meet the following criteria and are willing to test please submit your resume. NOTE: When submitting your resume, we are looking for the total number...

Job Description We are looking for an experienced Medical Biller with at least 3 to 5 years experience in ophthalmology. Experience with NextGen is a plus. This full-time position is looking for a dynamic and enthusiastic person to take charge of the medical billing department. Summary of Duties: Responsible for collecting, posting and managing account payments. Responsible for submitting claims and following up with insurance companies. Essential Functions: 1. Prepares and submits clean claims to various insurance companies either electronically or by paper. 2. Answers questions from patients, clerical staff and insurance companies. 3. Identifies and resolves patient billing complaints. 4. Prepares, reviews and sends patient statements 5. Evaluates patient's financial status and establishes budget payment plans. Follows and reports status of delinquent accounts. 6. Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares...

Job Description General Description: Under the direct supervision of the Compliance Audit Supervisor, the Associate Compliance Auditor is responsible for ensuring compliance with CTPF's standard operating procedures (SOP) and performing audits of a member's benefit before the retirement or refund benefit is finalized. The Associate Compliance Auditor performs audits to ensure accurate and timely benefits are distributed to members. Job Requirements: Primary Responsibilities ● Perform audits of members' accounts to ensure accurate benefits are being disbursed (i.e., pension, refunds, deceased and disability) ● Build strong working relations with internal departments and Employers to gather information and resolve member audit issues with minimal assistance ● Assist with identifying areas for improvement and providing recommendations in improving SOPs and department processes ● Support Senior Compliance Auditor to develop, review and update the SOP and flowcharts for final approval...

Amtex Systems Inc is an information technology and talent solutions company offering talent and BI consulting to the companies in US for over 20 years. Our solutions are designed to fill resource gaps, by providing the right candidates who deliver value to the organization. Our propensity to nurture and build strong relationships with our clients helps us better understand their business demands and gives us the ability to provide services that are on time and rise above the rest. We are urgently looking for Rx Claim coders for one of our healthcare client. Multiple positions open 100% REMOTE Must have experience Rx claims experience in most recent project Responsibilities Responsible for adjudicating all CoPay Assist Rx claims electronically. Responsible for adjudicating all Rx claims and billing. Build, maintain, and audit benefits in RxClaim Automated and manual testing using RxClaim Run patient Rx claim to get paid, and contact them for co-pay amount RXCLAIM And...

Job Description * Must have a technical background, be familiar with applicable US and foreign regulations, standards, corporate and divisional standards. * Specifically, the individual must have a working knowledge of Quality Systems Regulations (QSR) and International Standards (ISO13485). * Additionally, the individual must understand a variety of quality/operational systems that support facility, product design, development, production, distribution, installation, and understand the principals of quality management. * Bachelor degree (in Engineering preferred) or equivalent experience and sufficient exposure to pharmaceutical or medical device related industries required along with 4+ years relevant experience as Internal Auditor, Quality Engineer and/or Manufacturing Engineer in an R & D and /or manufacturing environment in pharmaceutical or medical device related industries. * Position requires significant product and systems related knowledge. * Must have excellent oral...

Job Description Position Summary Rosalind Franklin University Health Clinics is seeking to fill a full-time Billing Specialist. The Billing Specialist is responsible for gathering charge information, coding, entering charges into billing software, resolving outstanding balances with patients, and third-party payers to bring resolution to accounts. Our generous benefits package includes medical, dental, and vision plans; paid parental leave; short term and long term disability plans; life insurance; flexible spending accounts; and a 403(b) retirement plan which includes a 10% employer contribution after 2 years of service. RFUMS is committed to employee wellbeing and work-life balance. Full time staff are eligible for 3 weeks of vacation, 15 sick days, and 13 holidays plus two floating holidays. That is a minimum of 30 paid days off each year! Who We Are Rosalind Franklin University Health Clinics (RFUHC), a subsidiary of Rosalind Franklin University of Medicine and Science,...

Job Description The Global Internal Audit function plays a critical role in protecting and enhancing the organization's value through risk-based assurance and advisory services to internal stakeholders, senior management, and the Audit Committee of the Board Internal Audit strives to be a critical function to evaluate company, industry and emerging risks, effectively partnering with the business, and consistently recruit and develop key talent for the wider organization. Goals are carried-out through the talent of the audit team, while leveraging analytical and audit tools, supported by a dynamic and collaborative team culture. Responsibilities : * Planning and executing audits of various processes/locations, both U.S. and international. * Compile and analyze large sets of data from multiple sources (such as SAP, payroll and various compliance documentation databases). * Partner with peers in creating a risk assessment analysis of a proposed audit of entities, processes or...

Job Description We are representing a prestigious biopharmaceutical company that believes in new approaches to addressing today's health issues. With 28,000+ employees and medicines available in over 170 countries, our client combines advanced science, expertise, and passion to solve serious health issues and make a remarkable impact on people's lives. Our client's Global Internal Audit function is seeking a Senior Global Compliance Auditor to join their team. The Senior Compliance Auditor will play a critical role in executing risk-based assurance and advisory services to internal stakeholders, senior management, and the Audit Committee of the Board. Key Responsibilities: * Plan and execute audits of various processes/locations, both U.S. and international * Compile and analyze large sets of data from multiple sources * Partner with peers to create a risk assessment analysis of proposed audits of entities, processes, or critical systems * Prepare and present audit findings to...

Job Description The Senior Global Compliance Auditor has the primary function to conduct global sales, marketing, and healthcare compliance audits and formulate recommendations for improving operating performance and controls. The scope of compliance audits may include, but is not limited to, the following areas: * Anti-Bribery / Anti-Corruption * Promotional / Non-promotional practices * Third Party Relationships * Grants & Donations/Research Funding * Monitoring & Transparency Reporting * Patient Support Programs * Contracting / Pricing * Privacy Laws Responsibilities: * Communicate and present audit findings professionally to executive senior management as well as his/her peer group * Apply intelligent considerations and sound risk-based reasoning when evaluating audit findings * Identify key risks and plan audits accordingly to address those risks * Find opportunities for improvements in sales & marketing compliance practices when measured against corporate...

Job Description MMS is an innovative, data focused CRO that supports the pharmaceutical, biotech, and medical device industries with a proven, scientific approach to complex trial data and regulatory submission challenges. Strong industry experience, technology-enabled services, and a data-driven approach to drug development make MMS a valuable CRO partner, creating compelling submissions that meet rigorous regulatory standards. With a global footprint across four continents, MMS maintains a 97 percent customer satisfaction rating, and the company has been recognized as a leading CRO in Global Health & Pharma's international awards programs for the last three consecutive years. For more information, visit www.mmsholdings.com or follow MMS on LinkedIn. Job Specific Skills * Maintains a strong understanding of regulations and guidance as they pertain to compliance; maintains knowledge relating to regulatory updates. * Understanding of how to plan, prepare and conduct GCP audits...

Job Description Summary This position is responsible for overseeing the applicant and return donor reception and registration processes. • Supervise reception and medical staff. • Assist management with daily center operations to include development of reception and medical staff, assessment and improvement of processes, troubleshooting issues and managing donor flow. Job Description Main Responsibilities 1. In compliance with Standard Operating Procedures (SOPs), supervise daily activities of reception, medical, and customer service operations. Provide clear and consistent instructions and directions, conduct meetings, and clearly communicate performance expectations. May be required to perform tasks in work areas. Advise management of employee relation issues or escalated donor issues. 2. In conjunction with other management and supervisory staff, facilitate donor movement throughout the center minimizing donor wait time and processing. 3. Supervise reception and...

Job Description Summary This position is responsible for overseeing the applicant and return donor reception and registration processes. • Supervise reception and medical staff. • Assist management with daily center operations to include development of reception and medical staff, assessment and improvement of processes, troubleshooting issues and managing donor flow. Job Description Main Responsibilities In compliance with Standard Operating Procedures (SOPs), supervise daily activities of reception, medical, and customer service operations. Provide clear and consistent instructions and directions, conduct meetings, and clearly communicate performance expectations. May be required to perform tasks in work areas. Advise management of employee relation issues or escalated donor issues. In conjunction with other management and supervisory staff, facilitate donor movement throughout the center minimizing donor wait time and processing. Supervise...

Department ​   BSD OBG - Billing and Information Systems About the Department ​ The Department of Obstetrics and Gynecology has 114 clinical providers, providing care at the main hospital in Hyde Park and seven off site locations. We have More than 60,000 outpatient visits, 25,000 ultrasound visits, 2,800 deliveries, 3,000 gynecological surgeries per year. Teaching, research and the highest quality clinical care are top priorities for the Department. The residency and fellowship programs are highly ranked and have a history of training leaders in healthcare. The Department also has a significant research enterprise, engaging in population health studies, as well as research conducted in wet laboratories on tumor biology and the mechanisms of hypertensive diseases in pregnancy. The department was...

Department ​   BSD SUR - Clinical Revenue Staff About the Department ​ Operating since 1927 on a strong foundation of multidisciplinary clinical and academic excellence, the University of Chicago Department of Surgery's mission is to meet the most challenging and complex health problems on both a local and global scale. Many of our faculty members are known for their contributions to the advancement of groundbreaking surgical procedures and techniques, including minimally invasive surgery. In addition to our department's clinical work, our scientists pursue a diverse range of basic, translational, and clinical research projects, including studies on the gut microbiome, tissue bioengineering, stem cell research, cancer, and immunotolerance. This ongoing work and achievement would not be possible...

Department ​   BSD OBG - Billing and Information Systems About the Department ​ The Department of Obstetrics and Gynecology has 114 clinical providers, providing care at the main hospital in Hyde Park and seven off site locations. We have More than 60,000 outpatient visits, 25,000 ultrasound visits, 2,800 deliveries, 3,000 gynecological surgeries per year. Teaching, research and the highest quality clinical care are top priorities for the Department. The residency and fellowship programs are highly ranked and have a history of training leaders in healthcare. The Department also has a significant research enterprise, engaging in population health studies, as well as research conducted in wet laboratories on tumor biology and the mechanisms of hypertensive diseases in pregnancy. The department was...

Department ​   BSD SUR - Clinical Revenue Staff About the Department ​ Operating since 1927 on a strong foundation of multidisciplinary clinical and academic excellence, the University of Chicago Department of Surgery's mission is to meet the most challenging and complex health problems on both a local and global scale. Many of our faculty members are known for their contributions to the advancement of groundbreaking surgical procedures and techniques, including minimally invasive surgery. In addition to our department's clinical work, our scientists pursue a diverse range of basic, translational, and clinical research projects, including studies on the gut microbiome, tissue bioengineering, stem cell research, cancer, and immunotolerance. This ongoing work and achievement would not be possible...