Billing Specialist Jobs in Chicago, IL
Billing specialist jobs in Chicago are in strong demand, concentrated in the Loop, River North, and Streeterville across healthcare, finance, and professional services. Employers hiring right now include VIVA, Ahead, and Jobot. See the openings below and apply to the ones that match your experience.
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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
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Who's Hiring


Top Industries Hiring
- Staffing & Recruiting
Billing Specialist Jobs in Chicago: Frequently Asked Questions
How do I get a billing specialist job in Chicago?
Focus your search on the Loop and River North, where Chicago's largest healthcare systems, insurance carriers, and financial services firms cluster their billing and revenue cycle teams. Candidates with experience in medical billing, accounts receivable, or insurance claims processing have an edge in this market. Familiarity with EHR platforms like Epic or billing software like Sage gives your application a concrete leg up with Chicago's major hospital networks and corporate employers.
Which companies hire billing specialists in Chicago?
Chicago billing specialist roles are posted by VIVA, Ahead, and Jobot and others right now, based on current listings on Migrate Mate as of November 2026. Chicago's mix of large hospital systems, regional insurance companies, and mid-size professional services firms creates steady, diverse hiring for billing specialists at multiple experience levels.
Are there remote billing specialist jobs in Chicago?
Yes, though availability depends on the role: desk-based billing and claims processing work is more frequently remote-eligible, while roles tied to on-site patient accounts or physical document handling tend to require in-office presence. About 92% of billing specialist openings tied to Chicago are remote or hybrid as of November 2026, with healthcare revenue cycle and corporate accounts receivable positions making up the largest share of those flexible arrangements.
How can I get a billing specialist job in Chicago with little or no experience?
The most realistic entry path in Chicago is through a patient access representative or medical receptionist role at one of the city's large hospital systems, such as Northwestern Medicine, Rush University Medical Center, or the University of Chicago Medicine. These positions expose you to billing workflows and insurance verification from day one. Community colleges like City Colleges of Chicago also offer medical billing certificate programs that Chicago-area employers recognize, giving entry-level candidates a credential edge.
Which industries hire the most billing specialists in Chicago?
Chicago billing specialist roles concentrate in Staffing & Recruiting, based on current listings on Migrate Mate as of November 2026. Chicago's dense concentration of hospital networks, insurance headquarters, and large corporate service providers means these sectors consistently generate the highest volume of billing specialist openings in the metro area.
See All 58 Billing Specialist Jobs in Chicago
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