Billing Specialist Jobs in Illinois
Billing Specialist jobs in Illinois are in steady demand, with consistent hiring across healthcare systems, legal services, and insurance carriers at every level from entry-level billing clerks through senior revenue cycle managers. The heaviest concentration of openings is in Chicago, Peoria, and Rockford, where large employers like Northwestern Medicine, OSF HealthCare, and Advocate Aurora Health maintain ongoing billing and revenue cycle teams. Medical billing, insurance claims processing, and accounts receivable follow-up are the most in-demand specialties across Illinois postings. Find a role that fits below and apply directly.
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O’Hagan Meyer is seeking a detail-oriented Legal Billing Appeals Specialist to manage the firm’s insurance carrier invoice appeal process. This position is responsible for reviewing invoice reductions and denials, preparing and submitting appeals, monitoring deadlines, and tracking recovery efforts.
The ideal candidate has experience with law firm billing, insurance carrier billing guidelines, and electronic billing systems. This individual will work closely with attorneys, billing staff, and finance to maximize revenue recovery, minimize unnecessary write-offs, and identify opportunities to improve billing outcomes.
This is a hybrid position requiring the employee to work in the office five days per week during the first 90 days of employment. Following the initial 90-day period, the employee may transition to a hybrid schedule requiring at least three days in the office per week, subject to manager approval.
Key Responsibilities
- Review insurance carrier invoice reductions and denials to determine appealability and identify opportunities for recovery.
- Prepare clear, persuasive appeal narratives and supporting documentation for attorney review and approval.
- Submit appeals through electronic billing platforms and carrier-specific portals within established deadlines.
- Monitor appeal deadlines and provide timely reminders and status updates to attorneys and billing staff.
- Maintain accurate appeal logs and track outstanding appeals, outcomes, and recovered amounts.
- Work with attorneys and billing staff to obtain supporting documentation, resolve billing issues, and strengthen appeals.
- Collaborate with billing and collections teams to identify trends in carrier reductions and recommend process improvements.
- Apply outside counsel billing guidelines, carrier-specific requirements, and applicable appeal procedures.
- Prepare reports and maintain spreadsheets to monitor appeal activity, recovery rates, and outstanding items.
- Respond to internal inquiries regarding appeal status, procedures, and billing reductions.
- Perform other related duties as assigned.
Requirements
At least two years of experience in law firm billing, electronic billing, or billing appeals.- Insurance defense billing or direct experience appealing insurance carrier reductions is strongly preferred.
- Familiarity with outside counsel billing guidelines, carrier reduction codes, and electronic billing requirements.
- Experience with electronic billing platforms such as CounselLink, Legal Tracker, Collaborati, eBillingHub, BillBlast, or similar systems.
- Proficiency in Microsoft Excel, Word, and Outlook, along with Adobe Acrobat.
- Strong written communication skills and the ability to prepare clear, professional appeal narratives.
- Excellent organizational skills and the ability to manage multiple deadlines in a fast-paced environment.
- Strong analytical and problem-solving skills, with a focus on accuracy and revenue recovery.
- Ability to work independently while collaborating effectively with attorneys and administrative staff.
- Experience with legal accounting systems such as Aderant, Elite, or 3E is a plus.
- A bachelor’s degree is preferred but not required; equivalent relevant experience will be considered.
- Ability to meet the hybrid work requirements, including working in the office five days per week during the first 90 days and at least three days per week thereafter, subject to manager approval.
About O’Hagan Meyer
O’Hagan Meyer is a national law firm focused on providing high-quality legal representation and client service. We value professionalism, collaboration, accountability, and continuous improvement.
O’Hagan Meyer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Pay: $25.00–$28.00 per hour, equivalent to approximately $52,000–$58,000 annually, depending on experience (based on 40 hours per week).
Benefits
Health Care Plan (Medical, Dental, & Vision)- 401(k) Retirement Plan
- Life Insurance (Basic, Voluntary, & AD&D)
- Paid Time Off (Vacation, Sick Leave, & Company Holidays)
- Family Leave (Maternity, Paternity)
- Short Term & Long-Term Disability
- Training & Development
- Free Food & Snacks in Office
- Wellness Resources
- Commuter Benefits
See All 58 Billing Specialist Jobs in Illinois
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Find Billing Specialist JobsBilling Specialist Jobs by City in Illinois
Where Illinois roles are concentrated, by current openings.
Billing Specialist Job Market in Illinois
A snapshot from current Illinois openings, updated as new roles post.
Who's Hiring


Top Industries Hiring
- Staffing & Recruiting
- Fintech
- Banking & Financial Services
What Illinois Employers Look For
The qualifications that appear most often in billing specialist jobs across Illinois.
- At least one year of experience with medical or insurance billing software such as Epic or Meditech
- Working knowledge of ICD-10 and CPT coding systems used by Illinois healthcare employers
- Experience submitting and following up on claims with major commercial and government payers
- Familiarity with Illinois Medicaid billing rules and Managed Care Organization claim requirements
- Proficiency in Microsoft Excel and practice management or billing platforms
- Associate degree in health information, business administration, or a related field preferred
Billing Specialist Jobs in Illinois: Frequently Asked Questions
How do you become a billing specialist in Illinois?
Illinois does not require a state-issued license to work as a billing specialist, so the path runs through education and voluntary credentials. Most employers prefer candidates with at least an associate degree in health information management, business, or medical office administration. Earning a Certified Professional Biller credential through the American Academy of Professional Coders or a Certified Billing and Coding Specialist credential strengthens your application and is widely recognized by Illinois healthcare employers.
Which companies hire billing specialists in Illinois?
Employers hiring billing specialists in Illinois right now include Jobot, VIVA, and Ahead, based on current listings on Migrate Mate as of November 2026. Illinois's large integrated health systems and regional insurance carriers generate some of the most consistent billing specialist demand in the Midwest.
Which Illinois cities have the most billing specialist jobs?
Chicago, Peoria, and Illinois have the most billing specialist openings in Illinois. Chicago's concentration of academic medical centers, specialty practices, and corporate insurance offices drives the largest share of postings, while Peoria and Rockford reflect the strong regional hospital systems, including OSF HealthCare and Mercyhealth, that anchor those metro labor markets.
Are there remote billing specialist jobs in Illinois?
Yes, and more than most fields. About 68% of billing specialist openings tied to Illinois are remote or hybrid as of November 2026, reflecting how thoroughly this work has shifted to digital claims platforms and cloud-based practice management systems. Claims follow-up, insurance verification, and accounts receivable roles are the positions most likely to be offered fully remote by Illinois employers.
How can I get hired as a billing specialist in Illinois with little or no experience?
The most realistic entry path is applying for a patient access representative or medical receptionist role at an Illinois hospital or multispecialty clinic, then moving into billing once you have exposure to claim workflows. Large Illinois health systems like Northwestern Medicine and Advocate Aurora Health post entry-level revenue cycle associate programs that provide on-the-job billing training. Completing a medical billing certificate program at a community college like Oakton College or Triton College and earning the Certified Billing and Coding Specialist credential gives candidates without prior experience a concrete edge.
Where can I find and apply to billing specialist jobs in Illinois?
You can find and apply to billing specialist jobs in Illinois on Migrate Mate, which lists current Illinois openings from employers actively hiring. Search the available roles, find the ones that fit your experience and location, and apply directly to the employer.
See All 58 Billing Specialist Jobs in Illinois
Find roles in Illinois that match your experience and apply in just a few clicks.
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