Revenue Cycle Biller

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

Description

Job Title: Revenue Cycle Biller

Location: Chicago

Job Type: Full-Time

Reports to: Director of Revenue Cycle | Direct Reports: none

About Us

God Restoring Order (GRO) Community is a mental healthcare provider that specializes in trauma recovery services for males of color ages 5 and up. GRO services are grounded in an understanding of the neurological, biological and psychological effects of trauma. GRO services include mental health and wellness, stress management, and community outreach.

Position Summary

The Revenue Biller is responsible for managing and processing Medicaid and third-party insurance claims for services delivered across Illinois and Ohio operations. This role ensures accurate coding, timely submission, reimbursement tracking, and resolution of claim discrepancies to support optimal revenue cycle performance. The Revenue Biller plays a critical role in maintaining compliance with state Medicaid regulations, improving reimbursement efficiency, and safeguarding organizational revenue integrity.

Key Responsibilities

Medicaid Billing & Reimbursement

• Collect and process Ohio and Illinois Medicaid reimbursements by gathering, coding, and transmitting client service information accurately and timely.
• Review client records to verify proper Medicaid coding, service authorization, and documentation completeness
• Submit electronic claims through designated 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.

Claim Resolution & Follow-Up

• 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 as required.
• Follow up on unpaid or delayed claims within standard claim aging timelines.
• Maintain detailed documentation of claim follow-up and resolution efforts.
• Revenue Integrity & Reporting
• Analyze billing records for completeness and accuracy; obtain clarifications when needed.

Prepare Monthly Reports Summarizing

• Medicaid billings submitted
• Adjustments and write-offs
• Payments received
• Outstanding receivables
• Track reimbursement trends and flag revenue risks to leadership.
• Assist in internal audits related to Medicaid billing compliance.

Insurance & Third-Party Billing

• Collect and bill commercial insurance carriers and other third-party payers as applicable.
• Verify eligibility and coverage prior to billing.
• Ensure coordination of benefits when multiple payers are involved.

Compliance & Professional Development

• Stay current on Illinois and Ohio Medicaid billing regulations, coding updates, and reimbursement requirements.
• Participate in professional development opportunities related to Medicaid billing and revenue cycle management.
• Maintain confidentiality and compliance with HIPAA and organizational standards.

Competencies

• Revenue integrity mindset
• Regulatory compliance awareness
• Analytical problem-solving
• Detail orientation
• Accountability & follow-through
• Multi-state operational knowledge

Work Setting

• Onsite Office Setting
• May require coordination with multi-state teams
• Standard business hours with occasional deadline-driven demands

Qualifications

• Bachelor's degree in Healthcare Administration, Business, Finance, or related field required
• Billing/Coding Certification desired.

Experience

• Minimum 2–3 years of Medicaid billing experience (Illinois and/or Ohio preferred)
• Experience working in behavioral health, community mental health, or social services
• billing strongly preferred
• Experience with electronic health record (EHR) systems and Medicaid portals required

What We Offer

• Competitive salary and benefits package.
• A supportive and dynamic work environment committed to social impact.
• Opportunities for professional development and growth.