Medicaid Revenue Cycle Specialist | Multi-State Billing

Breva Systems, SA de CV; Chicago (IL); On-site; USD 65,000 - 75,000; Full time

Benefits offered by this job

Competitive salary and benefits

Professional development opportunities

Job summary

GRO Community in Chicago seeks a Revenue Cycle Biller to manage Medicaid and third-party claims across Illinois and Ohio. You will ensure accurate coding, timely submissions, and proactive follow-up to optimize revenue cycle performance.

The role emphasizes compliance with Medicaid regulations, detailed documentation, and collaboration with state payers. Onsite work with standard hours and growth opportunities are available.

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Finance, or related field required.
• Billing/Coding Certification desired.
• Minimum 2–3 years of Medicaid billing experience (Illinois and/or Ohio preferred).
• Experience with electronic health record (EHR) systems and Medicaid portals required.

Responsibilities

• Process Medicaid reimbursements for Illinois and Ohio accurately and timely.
• Review records to verify Medicaid coding, service authorization, and documentation completeness.
• Submit electronic claims through Medicaid portals and billing platforms.
• Verify accuracy of Medicaid coding prior to submission to ensure payment integrity.
• Monitor claim status and ensure timely adjudication within standard processing periods.
• Investigate and resolve billing discrepancies through detailed research and data analysis.
• Adjust patient bills based on remittance advice and Medicaid correspondence.
• Resolve denied or disputed claims by consulting with Medicaid claims representatives and providing additional documentation.
• Prepare monthly reports summarizing Medicaid billings, adjustments, payments, and receivables.
• Maintain compliance with HIPAA and regulatory requirements.

Skills

Medicaid billing

EHR systems

claims follow-up

revenue integrity

data analysis

Education

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

Tools

EHR systems

Medicaid portals

Job description

GRO Community in Chicago seeks a Revenue Cycle Biller to manage Medicaid and third-party claims across Illinois and Ohio. You will ensure accurate coding, timely submissions, and proactive follow-up to optimize revenue cycle performance.

The role emphasizes compliance with Medicaid regulations, detailed documentation, and collaboration with state payers. Onsite work with standard hours and growth opportunities are available.