Medicaid Billing Specialist, Illinois MEDI (2+ Yrs Expereince Preferred)

Lyric National•Lincolnwood, IL

31d•$24 - $29•Hybrid

About The Position

We are seeking a Medicaid Billing Specialist with experience in Illinois Medicaid systems to join our Lincolnwood office operations. This role centers on four platforms (MEDI, ABE, RFMS, and PCC) and the income liability workflow that connects them. You will own the accuracy of each income adjustment from the first document gathered to the final record update, and you will serve as a technical billing resource for our Sales team as new facility partners come on board.

Requirements

2+ years of Medicaid billing experience within a care facility (i.e., Skilled Nursing Facility (SNF), Long-Term Care) or medical billing company.
Working knowledge of income adjustments and liability updates.
Experience with ABE, RFMS, and PointClickCare (PCC) is strongly valued.
Strong knowledge of SNF operations and resident income liability.
Comfortable working with Sales and facility staff during onboarding, and able to explain technical billing concepts clearly.
Microsoft Office Suite proficiency.
Experience with CRM tools (Salesforce preferred).
A self-starter who works autonomously with a high level of accuracy and collaborates well with stakeholders.
High school diploma or equivalent.

Nice To Haves

Associate or Bachelor's degree.
Prior healthcare administrative, finance, accounts receivable, or operations experience within care facilities (i.e., SNF, Hospice Care, Physical Therapy, Home Help or Hospitals).
Prior experience supporting new facility or client onboarding.

Responsibilities

Manage Illinois Medicaid income adjustments and liability updates across MEDI, ABE, RFMS, and PointClickCare (PCC) platforms.
Own the end-to-end process within the Illinois MEDI system, ensuring all resident data, eligibility, and liability updates are processed without error.
Gather and upload all necessary documents into the ABE platform pertaining to all income adjustments.
Accurately log all new financial details to RFMS regarding updated resident income.
Submit updated resident records and adjustments into PCC.
Collaborate with the Sales team during facility onboarding to provide technical billing guidance and assist in the onboarding of new partners.
Process daily income adjustments for Medicaid residents, including income liability changes, through MEDI.
Keep records consistent across MEDI, ABE, RFMS, and PCC so a single income change is reflected accurately in every system.
Serve as the technical billing lead during facility onboarding, supporting Sales and new partner facilities.
Identify gaps in current billing procedures and implement refined processes (e.g., a streamlined income-adjustment audit).
Stay current on new systems, internal processes, and Illinois regulatory updates.