Medical Billing Specialist

Lyric National; Lincolnwood (IL); On-site; USD 33,000 - 40,000; Full time

Benefits offered by this job

Health Insurance

Dental & Vision Coverage

Paid Time Off (PTO)

401(k) Retirement Plan

Job summary

Lyric National in Lincolnwood, IL is hiring a Medical Billing Specialist (Medicaid) to lead Illinois Medicaid income adjustments across MEDI, ABE, RFMS and PCC. This on-site role requires 2+ years of Medicaid billing experience in SNFs or medical billing, with strong knowledge of MEDI, ABE, RFMS and PCC platforms.

The successful candidate will manage resident income liability, ensure accurate reimbursements, and collaborate with sales during onboarding. On-site 5 days a week, with standard hours.

Qualifications

• 2+ years of Medicaid billing experience in SNF/Long-Term Care or medical billing company.
• Expertise with MEDI, ABE, RFMS and PCC platforms; proficient with Microsoft Office and CRM tools.
• On-site in Lincolnwood, IL, with standard hours and occasional local travel.

Responsibilities

• Act as SME for Medicaid income adjustments and liability to ensure proper reimbursement.
• Own end-to-end MEDI processing: data, eligibility, and liability updates.
• Gather and upload documents to ABE for income adjustments.
• Log updates in RFMS and submit adjusted records to PCC.
• Collaborate with Sales during facility onboarding to provide billing guidance.

Skills

Medicaid billing experience

Attention to detail

Autonomous work style

Education

High school diploma or equivalent

Associate or Bachelor's degree

Tools

MEDI

ABE

RFMS

PCC

MS Office

Salesforce

Job description

• Role: Manage Illinois Medicaid income adjustments and liability updates across MEDI, ABE, RFMS, and PointClickCare (PCC) platforms
• Location: 100% on-site, Lincolnwood, IL (please ensure daily commute is sustainable)
• Required: 2+ years of Medicaid billing experience in a care facility (SNF/Long-Term Care) or medical billing company
• Benefits: Full health, vision, and dental coverage; 401(k) retirement plan; Paid Time Off (PTO)
• Pay: $24.00 - $29.00/hour

• Role: Manage Illinois Medicaid income adjustments and liability updates across MEDI, ABE, RFMS, and PointClickCare (PCC) platforms
• Location: 100% on-site, Lincolnwood, IL (please ensure daily commute is sustainable)
• Required: 2+ years of Medicaid billing experience in a care facility (SNF/Long-Term Care) or medical billing company
• Benefits: Full health, vision, and dental coverage; 401(k) retirement plan; Paid Time Off (PTO)
• Pay: $24.00 - $29.00/hour

About Lyric National

At Lyric National Inc., we're rewriting the script for long-term care, providing skilled nursing facilities with a single-source concierge platform, and residents with access to robust medical options that enhance their quality of in-facility care. We are committed to improving healthcare access and financial sustainability, serving as a dedicated advocate in building the standard of senior care.

Job Overview

We are seeking a Medical Billing Specialist (Medicaid) with deep technical expertise in Illinois Medicaid systems to lead our Lincolnwood office operations. This is a specialized role requiring a subject matter expert who understands the nuances of resident income liability and adjustments. You will be responsible for the integrity of our billing processes while simultaneously identifying operational gaps to build more efficient office workflows.

Core Responsibilities

• Medicaid Income Specialist: Act as the primary Subject Matter Expert (SME) for Medicaid income adjustments including the complexities of income liability to ensure residents are correctly assessed and facilities are accurately reimbursed
• Medical Electronic Data Interchange (MEDI): Own the end-to-end process within the Illinois MEDI system, ensuring all resident data, eligibility, and liability updates are processed without error
• Application For Benefits Eligibility (ABE): Gather and upload all necessary documents into the ABE platform pertaining to all income adjustments
• Resident Fund Management Service (RFMS): Accurately log all new financial details to RFMS regarding updated resident income
• PointClickCare (PCC): Submit updated resident records and adjustments into PCC
• Strategic Advocate: Collaborate with the Sales team during facility onboarding to provide technical billing guidance and assist in the onboarding of new partners

Job Description

Key Responsibilities

• Technical Income Processing: Execute daily income adjustments for Medicaid patients, specifically focusing on adjusting income liability through the MEDI system
• Enrollment Liaison: Act as the technical billing lead during the facility onboarding process
• Workflow Engineering: Proactively identify gaps in current billing procedures and implement refined processes (e.g., creating a new supply request workflow or a streamlined income-adjustment audit)
• Continuous Learning: Rapidly adopt and integrate new systems, internal processes, and state regulatory updates within a fast-paced environment

Job Requirements

• Education: High school diploma or equivalent
• Experience: 2+ years of experience in Medicaid billing, within a care facility (i.e., Skilled Nursing Facility (SNF), Long-Term Care...etc.), or medical billing company
• Operational Expertise: Strong knowledge of SNF operations to support complex billing and administrative workflows
• Technical Skills: Expert in processing income adjustments through the Medical Electronic Data Interchange (MEDI) system portal, working with Application For Benefits Eligibility (ABE), Resident Fund Management Service (RFMS), and PointClickCare (PCC), Microsoft Office Suite, and experience with CRM tools (Salesforce preferred)
• Professional Mindset: A self-starter capable of working autonomously while maintaining high levels of collaboration with stakeholders
• On-Site Requirement: Ability to work on-site 5 days a week in the Lincolnwood, IL office (9:00 AM – 5:00 PM) with occasional local travel as needed (i.e. off-site training)

Preferred Qualifications

• Education: Associate or Bachelor's degree
• Experience: Previous Healthcare administrative, finance, accounts receivable, or operations experience within care facilities (i.e., Skilled Nursing Facilities (SNF), Hospice Care, Physical Therapy, Home Help or Hospitals)

Benefits

• Health Insurance
• Dental & Vision Coverage
• Paid Time Off (PTO)
• 401(k) Retirement Plan

Salary: $24.00 - $29.00 per hour