Revenue Cycle Biller
On-siteChicago, Illinois, United States
Job Summary
Collect and process Ohio and Illinois Medicaid reimbursements by gathering, coding, and transmitting client service information accurately and timely. Submit electronic claims through designated portals, verify coding accuracy prior to submission, and monitor adjudication status to ensure payment integrity. Investigate billing discrepancies through data analysis, adjust patient bills based on remittance advice, and resolve denied claims by consulting representatives and providing additional documentation. Prepare monthly reports summarizing billings submitted, adjustments, payments received, and outstanding receivables while tracking reimbursement trends. Maintain detailed documentation of follow-up efforts and assist in internal audits related to Medicaid billing compliance. Stay current on state regulations and HIPAA standards while managing commercial insurance and third-party payers.
Required Qualifications
- Bachelor's degree in Healthcare Administration, Business, Finance, or related field
- Minimum 2–3 years of Medicaid billing experience
- Experience with electronic health record (EHR) systems and Medicaid portals
- Revenue integrity mindset
- Regulatory compliance awareness
- Analytical problem-solving
- Detail orientation
- Accountability & follow-through
- Multi-state operational knowledge
Desired Qualifications
- Billing/Coding Certification
- Experience working in behavioral health, community mental health, or social services billing
- Illinois and/or Ohio Medicaid billing experience
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