Billing Specialist

at Community Youth Network in Grayslake, Illinois, United States

Job Description

CYN Counseling Center

Are you passionate about making a positive impact on children and families? Do you want to be a part of an organization growing to meet the increasing mental health needs in our community? If so, CYN Counseling Center may be the perfect fit for you!

We are a nonprofit, community-based counseling agency that offers therapy, case management, crisis intervention, and community education to people of all ages. For over 40 years, CYN’s collaborative team has provided critical services that change the lives of thousands.

Job Description:

Educational requirements: Associate degree required; Bachelor’s Degree in Business or related field preferred; 2+ years’ experience as a Medical Biller. Experience with billing Medicaid is a plus

Proficiency with electronic medical records (EMR). Strong knowledge of working with insurance companies. Ability to work independently and collaboratively within a team environment. Able to multi-task and meet tight deadlines. Excellent problem-solving skills.

Summary: Completing eligibility verifications and educating clients about coverage. Posting charges and completion of claims to payers in a timely fashion. Converting services to billable units. Submit billing data to insurance providers. Working claims and claim denials to ensure maximum reimbursement for services provided. Creating billing for other contracted services. Performing billing reviews and audits. Implementing, maintaining and reporting on financials for programs. The billing specialist reports to either the office manager or the Exec Director

Responsibilities:

+ DCFS billing and weekly accruals: NPP, Intact Families, GC, Flex Funds

+ Lake County Adult and Juvenile Probation billing

+ Private Agency billing

+ Private insurance weekly billing

+ LIFESPAN billing

+ Billing for contracted therapy and other services (schools, presentations, etc)

+ Creation and maintenance of a fee schedule for services

+ Third-party payor eligibility verification done within 24 hours of receipt

+ Daily log payments in penelope

+ Data enter EOBs in penelope, manage denials

+ Client bills and follow up with client late payments

+ Accrual tracking spreadsheet reconciliation for all billings

+ Ensuring timeliness of external annual contracting or new vendors

+ Updating pricing sheets

+ Calls to DCFS twice per month to check on payment status

+ Bank deposits

+ Follow up with insurance companies for delays, denials

+ Certified Billing and Coding credential preferred

+ All other duties as assigned