Hybrid Medicaid Billing & Credentialing Specialist

Lutheran Child and Family Services of Illinois; Oak Brook (IL); Hybrid; USD 27,552 - 34,440; Full time

Job summary

Lutheran Child and Family Services of Illinois is seeking a Medicaid Billing and Credentialing Coordinator in Oak Brook, Illinois. This position is responsible for managing Medicaid billing operations, ensuring compliance with regulations, and serving as a liaison to insurance payers. Ideal candidates will have 2-3 years of healthcare billing experience, proficiency in ICD-10, CPT, and HCPCS coding, and strong knowledge of provider enrollment processes. Benefits include a flexible work arrangement post-training, with up to two remote workdays per week.

Qualifications

• Minimum of 2-3 years of healthcare billing experience, with an emphasis on Medicaid billing.
• Experience with provider enrollment and credentialing processes is required.
• Professional certifications such as CPB, CRCS, or CMRS are preferred.

Responsibilities

• Manage Medicaid billing operations, including claims preparation, review, and submission.
• Analyze trends in claim denials and implement solutions to improve outcomes.
• Serve as a liaison with insurance payers to resolve reimbursement issues.

Skills

Medicaid billing processes

ICD-10 coding

CPT coding

HCPCS coding

Provider enrollment

HIPAA compliance

Attention to detail

Communication skills

Education

Associate's or Bachelor's degree in Healthcare Administration, Business, Finance, or related field

Job description

Lutheran Child and Family Services of Illinois is seeking a Medicaid Billing and Credentialing Coordinator in Oak Brook, Illinois. This position is responsible for managing Medicaid billing operations, ensuring compliance with regulations, and serving as a liaison to insurance payers. Ideal candidates will have 2-3 years of healthcare billing experience, proficiency in ICD-10, CPT, and HCPCS coding, and strong knowledge of provider enrollment processes. Benefits include a flexible work arrangement post-training, with up to two remote workdays per week.