Senior Medical Biller & Revenue Audit Lead - Chicago (Hybrid, Part-Time, 1099)

neobill is a new medical billing and revenue optimization firm in Chicago focused on independent practices (1 to 10 providers), with a focus on mental/behavioral health, chiropractic, orthopedic, and surgical specialties. I'm hiring our first RCM team member: a senior biller who can also help us run our revenue audits.

This is a 1099 contract role. Hours are pipeline-dependent. Some weeks will be 5 to 15 hours, other weeks heavier depending on live client work and the audit pipeline. As a brand-new firm, hours will grow steadily as we sign clients, with a clear path to full-time employee #1 of the billing team.

Chicago hybrid: most work is remote from your home office. You'll join me on occasional on-site audits at prospect practices around Chicagoland and for in-person working sessions as we build things out.

What you'd own

• Daily billing for our first live clients: claim submission, denials, appeals, A/R follow-up, payment posting, charge-entry QA
• Building our billing function from scratch: clearinghouse setup, payer enrollment workflow, SOPs, denial and A/R playbooks, QA checks. You're not inheriting a system; you're designing it.
• Documenting everything you build so the next biller can follow it
• Training new team members as we grow
• Running our Operational Revenue Audit on prospect practices (on-site and remote): undercoding review, E/M leveling, modifier and bundling analysis, workflow and A/R gaps. This is one of our core sales tools and converts prospects into clients.
• Designing our written client deliverables on the billing side. You define what each report looks like (audit reports, client A/R summaries, denial memos, QA reports), build repeatable templates, and hold the quality bar. These reports are often the first professional document a practice owner sees from us, so the bar is high.

What I'm looking for

• 7 years hands-on medical billing across independent practice, small billing firm, or RCM team
• Mental/behavioral health billing experience required. Comfortable with psych codes (90791, 90834, 90837, 90853, 96130-series), behavioral health carve-outs (UBH/Optum, Magellan, Beacon), time-based documentation, and telehealth billing rules.
• Experience setting up billing operations from scratch, not just inheriting existing ones
• Billing audit experience. You've reviewed other practices' setups, not only run your own.
• Strong documentation and training instincts. You can write an SOP another biller can actually follow.
• Professional writing. You can produce client-facing deliverables (audit reports, A/R summaries, denial memos) that read credibly to a physician owner without heavy editing.
• Comfort with startup ambiguity: you'll own and define workflows, make judgment calls without perfect instructions, and shape how this function runs.
• Chicago-based and available for occasional on-site audits and in-person working sessions.

Nice to have

• Chiropractic, orthopedic, or surgical billing experience (our pipeline skews here)
• Coding experience (CPC or equivalent), especially if you can level E/M visits from documentation
• CPB, CPMA, or similar certifications (CPMA is a real plus because it maps to our audit work)
• Fluency with major clearinghouses (Availity, Waystar, Change Healthcare) and at least two PM/EHR systems

Compensation & engagement

• $30–40/hr 1099 depending on experience and certifications
• Per-audit bonus when an Operational Revenue Audit you run converts to a signed neobill client
• Path to full-time employee #1 of the billing team as we scale
• Direct reporting to me, the founder.

Logistics

• 1099 contractor. You'll need your own workstation and a secure home office setup.
• HIPAA training and a signed BAA are required before you touch a live claim.
• Background check required.
• Non-exclusive. This is part-time, so existing consulting or 1099 engagements are fine as long as there's no conflict.



If this sounds like you (or someone you'd trust), email me at dylan@neobill.co with a short note and your background. Happy to hop on a call.

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