Top 246 Prior authorization Jobs in Chicago, Il

Medical Biller
Physicians Revenue Group —Downers Grove, IL
- $18 - $23 an hour
- Full-time
- Hybrid work
- Background check
- Anatomy knowledge
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
Pharmacy Revenue Cycle and Audit Specialist
Procom —Chicago, IL
- Contract
- Hybrid work
- 5 years
- Office
- Analysis skills
Quick Apply
13d
Holocaust Community Services Care Manager Supervisor (bilingual Russian-speaking)
CJE SeniorLife —Chicago, IL
- $75,000 a year
- Weekends as needed
- Hybrid work
- 5 years
- English
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Surgery Coordinator
EyeSouth Partners —Chicago, IL
- $17 - $20 an hour
- Full-time
- Surgery
- Bachelor of Science
- HIPAA
- Health savings account
- AD&D insurance
Hospitality / Backup Reception Specialist
IST Management Services —Chicago, IL
- $18 - $19 an hour
- Full-time
- Office
- High school diploma or GED
- Ability to lift 50 pounds
- Disability insurance
- Health insurance
Patient Access Liaison
Glaukos —Chicago, IL
- $143,400 - $179,200 a year
- Full-time
- Bilingual
- Nursing
- Up to 50% travel
Quick Apply
8d
Reimbursement Specialist
Philips —Chicago, IL
- $26 - $41 an hour
- Full-time
- Research
- Mid-level
- Office
- Health savings account
- Employee stock purchase plan
6d
Patient Access Liaison - Rare Disease - Central
Amgen —Chicago, IL
- $158,394 - $222,256 a year
- Weekends as needed
- Doctoral degree
- Up to 50% travel
- HIPAA
- Disability insurance
- Health insurance
6d
Administrative Assistant - Grid Engineering Support
Sargent & Lundy —Chicago, IL
- $49,089 - $71,853 a year
- Overtime
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Paid parental leave
- Health savings account
Perioperative Scheduler
Hospital: Rush University Medical Center —Chicago, IL
- $17.63 - $27.77 an hour
- 8 hour shift
- Mid-level
- 3 years
- High school diploma or GED
Medical Assistant
CCRM Fertility —Chicago, IL
- $22 - $28 an hour
- Full-time
- BLS Certification
- HIPAA
- Laboratory experience
- Commuter assistance
- Health savings account
Quick Apply
Pre Authorization Lead
Hospital: Rush University Medical Center —Chicago, IL
- $21.61 - $30.53 an hour
- 8 hour shift
- Microsoft Word
- Anatomy knowledge
- Microsoft Excel
Intake Coordinator
Shirley Ryan AbilityLab —Chicago, IL
- $40,600 - $69,600 a year
- Full-time
- Adults
- Mid-level
- Office
Quick Apply
$38/LPN $47/RN GTUBE,TRACHEA,VENT MON,WED,FRI 9PM-7AM
Reliance Home Health Caregivers —Berwyn, IL
- $38 - $47 an hour
- Urgently hiring
- Background check
- CPR Certification
- RN License
- COVID-19 protective measures
- Health insurance
Quick Apply
$38/LPN $47/RN GTUBE 21 Y/O MALE MON-FRI 11AM-11PM
Reliance Home Health Caregivers —Matteson, IL
- $38 - $47 an hour
- Urgently hiring
- Background check
- CPR Certification
- RN License
- COVID-19 protective measures
- Health insurance
Quick Apply
Physician Supervisor, Utilization Management
Oak Street Health —Illinois
- $174,070 - $374,920 a year
- Full-time
- Medicine
- Mid-level
- US work authorization
- Health insurance
- Dental insurance
Registered Nurse (RN)
Midwest Center for Womens Healthcare —Arlington Heights, IL
- From $30 an hour
- Full-time
- Private practice
- Vital signs
- RN License
- Health insurance
- Dental insurance
Quick Apply
Certified or Registered Medical Assistant or Certified Dermatology Tech
Illinois Dermatology Institute —Park Ridge, IL
- $19 - $21 an hour
- Full-time
- Background check
- Vital signs
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
14d
Registered Nurse - Community Health Center - Evanston (24 hours)
Endeavor Health —Evanston, IL
- $33.96 - $52.64 an hour
- Full-time
- CPR Certification
- Nursing
- RN License
- Free parking
- Wellness program
Certified Medical Assistant (CMA) Traveling
Premier Pain & Spine —Berwyn, IL
- $19 - $21 an hour
- Full-time
- Spanish
- Vital signs
- English
- Health insurance
- Dental insurance
Quick Apply

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Medical Biller

Physicians Revenue Group -
Downers Grove, IL

Quick Apply

Job Details

Full-time
$18 - $23 an hour

Benefits

Paid holidays
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Opportunities for advancement
Life insurance

Qualifications

Anatomy knowledge
Medicare
Medical billing and coding experience in pediatrics
Insurance verification
Medicaid billing
Outpatient clinic experience
HIPAA
Medical coding in physician offices
Outpatient
Outpatient facility experience
eClinicalWorks
ICD-10
Health insurance knowledge
Medicare regulations
Medical billing
CPT coding
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medicaid
Medical Billing Certification
Associate's degree
Medical terminology
Documentation review

Full Job Description

About Us

Physicians Revenue Group, Inc. is a fast-growing healthcare technology and revenue cycle management company with operations across the U.S. and internationally. We partner with medical and dental practices to manage the full billing and revenue lifecycle — helping providers focus on patient care while we drive financial performance on their behalf. We are seeking a detail-oriented, dependable, and experienced Medical Biller with a background in pediatric billing to join our growing team. This role will begin on-site for the first month during training and then transition to a hybrid remote schedule.

Position Summary

The Medical Biller – Pediatrics is responsible for accurate and timely billing, coding, and claim submission for pediatric physician practices. This role requires hands-on experience with eClinicalWorks (eCW) and a solid understanding of pediatric-specific billing requirements, including well-child visits, preventive care coding, vaccine administration billing, and EPSDT compliance. Ideal candidates are organized, self-directed, and committed to delivering clean claims and optimal reimbursement on behalf of our provider clients.

Key Responsibilities

Review and analyze medical records, encounter notes, and provider documentation to ensure accurate and compliant billing
Assign appropriate ICD-10, CPT, and HCPCS codes for pediatric diagnoses, procedures, and preventive services
Accurately bill for well-child visits, sick visits, immunizations, and developmental screenings in accordance with payer guidelines
Verify insurance eligibility and benefits prior to claim submission, including Medicaid and CHIP plan requirements
Submit and track claims through eClinicalWorks; monitor claim status and resolve rejections and denials promptly
Follow up with payers, providers, and patients to resolve billing discrepancies, missing documentation, or authorization issues
Ensure compliance with HIPAA, EPSDT mandates, and all applicable federal and state billing regulations
Maintain up-to-date knowledge of pediatric coding guidelines, payer-specific rules, and CMS updates
Collaborate with internal billing team members to maintain clean claim rates and minimize AR aging
Document all billing activities, follow-up actions, and payer correspondence accurately within eClinicalWorks

Required Qualifications

Associate degree required; Bachelor's degree a plus
2–4 years of experience in medical billing, with at least 1 year in a pediatric or primary care outpatient setting
Hands-on experience with eClinicalWorks (eCW) — required; must be able to navigate the platform independently from day one
Working knowledge of Medicaid, CHIP, and commercial payer billing requirements for pediatric services
Familiarity with EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) program billing requirements
Strong understanding of medical terminology, anatomy, and pediatric-relevant CPT and ICD-10 coding
High level of accuracy and attention to detail in claim preparation and documentation review
Excellent verbal and written communication skills for payer and provider interaction
Ability to work independently, prioritize tasks, and meet productivity and quality benchmarks
Professional conduct and proven dependability in both in-person and remote work settings

Preferred Qualifications

Certified Professional Biller (CPB), Certified Professional Coder (CPC), or equivalent medical billing/coding certification
Experience billing for vaccine administration (CPT 90460–90461 series) and immunization schedules
Familiarity with preventive care coding (CPT 99381–99395) and well-child visit documentation requirements
Experience with multiple payer types: commercial, Medicare, Medicaid, and CHIP
Prior experience working for a revenue cycle management (RCM) company supporting multiple physician clients
Experience with billing portal navigation for major managed care and Medicaid payers

Benefits

401(k) with company match
Medical, dental, and vision insurance
Company-paid life insurance
Paid time off (PTO) and holidays
Hybrid remote flexibility after initial training
Supportive team and opportunities for advancement

Job Type: Full-time

Pay: $18.00 - $23.00 per hour

Benefits:

401(k) matching
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Application Question(s):

What compensation range are you targeting for this role?

Education:

Associate (Required)

Experience:

Medical billing: 2 years (Required)
Pediatric Billing: 1 year (Required)
eClinicalWorks: 2 years (Required)
Medicare: 2 years (Required)
Medicaid Billing: 1 year (Required)
CPT coding: 2 years (Required)

License/Certification:

Medical Billing Certification (Preferred)

Ability to Commute:

Downers Grove, IL 60515 (Required)

Work Location: Hybrid remote in Downers Grove, IL 60515

Quick Apply

Refine Your Search

prior authorization jobs in chicago, il

Medical Biller

Pharmacy Revenue Cycle and Audit Specialist

Holocaust Community Services Care Manager Supervisor (bilingual Russian-speaking)

Surgery Coordinator

Hospitality / Backup Reception Specialist

Patient Access Liaison

Reimbursement Specialist

Patient Access Liaison - Rare Disease - Central

Administrative Assistant - Grid Engineering Support

Perioperative Scheduler

Medical Assistant

Pre Authorization Lead

Intake Coordinator

$38/LPN $47/RN GTUBE,TRACHEA,VENT MON,WED,FRI 9PM-7AM

$38/LPN $47/RN GTUBE 21 Y/O MALE MON-FRI 11AM-11PM

Physician Supervisor, Utilization Management

Registered Nurse (RN)

Certified or Registered Medical Assistant or Certified Dermatology Tech

Registered Nurse - Community Health Center - Evanston (24 hours)

Certified Medical Assistant (CMA) Traveling

I want to receive the latest job alert for prior authorization in chicago, il

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