Biller - Chicago, United States - GRO Community

GRO Community

Verified Company

Chicago, United States

19 hours ago

Posted by:

Mark Lane

beBee recruiter

Description

About GRO Community:

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.

Purpose of Position:
The Billing Clerk will be responsible for collecting payments and reimbursements from Medicaid and other insurance carriers. The billing clerk will take responsibility for accurately coding, inputting data, and submitting claims sufficiently.

Essential Functions:

Collects both Ohio and Illinois Medicaid reimbursements by gathering, coding, and transmitting client care information.
Keeps up to date on information required for remittance of client care by Medicaid and communicates this information to revenue staff.
Reviews client records to check for proper Medicaid coding and completeness and makes corrections accordingly.
Analyzes client billing records for completeness and accuracy and obtains additional information and clarification, as necessary.
Resolves billing discrepancies by conducting further research and correcting errors.
Resolves disputed claims by consulting with state Medicaid administration claims clerks and following up on all bills not processed within usual claim period.
Prepares reports based on Medicaid billing data and revenue.
Ensures payments by verifying accuracy of Medicaid coding.
Resolves disputed claims by gathering, verifying, and providing additional information and following up on claims.
Resolves discrepancies by examining and evaluating data.
Adjusts patient bills by reviewing remittance advice and consulting with Medicaid office.
Prepares monthly reports of Medicaid billings, adjustments, and revenues received.
Participates in professional educational opportunities to keep current on Medicaid billing and reimbursement procedures.
Will collect and bill other insurance carriers for reimbursement of services as needed

Competencies:

Integrity, discretion, and respect for confidentiality and privacy
Excellent oral communication skills and the ability to resolve misunderstandings and errors in a diplomatic manner
Typing, computing, and data entry skills
Excellent communication, interpersonal, and customer service skills
Analytical skills
Ability to prioritize and work under pressure
Time management
Organizational skills
Attention to detail
Strong spelling, math, and financial skills
Documentation skills
Typing and data entry proficiency

Work Environment:
Hybrid

Location:

TBD

Expected Hours of Work:
Business Hours,
TBD

Travel:
Must have access to reliable transportation to GRO Community and community sites as needed.

Qualifications:

Required Education:

Minimum of High School Diploma, bachelor's degree preferred
Certified Professional Coder (CPC), Certified Coding Associate (CCA), or the Registered Health Information Technician (RHIT) required/preferred
Active Drug Enforcement Administration (DEA) registration in order to prescribe certain medications.

Experience:

A minimum of 2 years' experience in medical office setting
23 years previous billing, bookkeeping, or clerical experience
12 years of Ohio Medicaid billing experience required
23 years of Illinois Medicaid billing experience required
Indiana Medicaid Experience desired
Some commercial and private insurance billing experience
Proficiency in MS office and Google Suite
Physical Demands:n/a

What we offer:

Thrive in a family orientated work environment where we believe in the importance of mental health, wellness, and self-care.

Here at GRO we recognize the importance of growth and development while striving to ensure all staff are set up for success in their endeavors as a member of our team.

GRO Community provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics.

In addition to federal law requirements, GRO Community complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

GRO Community expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age,