Revenue Cycle Biller

GRO Community•Chicago, IL

8m•Onsite

About The Position

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.

Requirements

Bachelor's degree in Healthcare Administration, Business, Finance, or related field required
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
Revenue integrity mindset
Regulatory compliance awareness
Analytical problem-solving
Detail orientation
Accountability & follow-through
Multi-state operational knowledge

Nice To Haves

Billing/Coding Certification desired.

Responsibilities

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.
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.
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.
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.
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.