Current Employment Positions

Billing Coordinator - Chicago

  • Job Tracking ID: 512588-741527
  • Job Location: Chicago, IL
  • Job Level: Management
  • Level of Education: High School/GED
  • Job Type: Full-Time/Regular
  • Date Updated: April 07, 2021
  • Years of Experience: Less Than 1 Year
  • Starting Date: ASAP

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Job Description:

* Operates with agency and external computer systems to provide data and support for company billing operations.

* Enters data in to the company’s client master file system (SAMMS) including demographic updates, openings, discharges, insurance benefits and billing transactions.

* Reviews new admissions for insurance coverage through MEDI system or real time eligibility check.

* Reviews electronic eligibility check results and follows up on all non-active results. To use HFS’s MEDI System to ascertain client eligibility and billing status for clients where applicable. This will include activation and deactivation of client eligibility in the master client file tracking system.

* Identifies client billing status changes and provide the Billing Manager a printed record to facilitate the update of the client’s SAMMS record. The printed document must be scanned to the Form tab in the client’s SAMMS record and a copy is forwarded to appropriate managers so that they ensure that required authorizations are in place.

* Reviews inter-site program transfers to determine schedule of events to ensure demographic changes occur before services are billed.

* Obtains prior authorizations, renewal authorizations, and track service utilization of certain Medicaid-MCO clients whose member contract places caps on the amount of services which can be provided. Services are tallied weekly and measured against the MCO cap as necessary.When required, notifications are made to managers to control service delivery.

* Enters H&P and CI services into SAMMS.

* Assists the Billing Manager in compiling, validating, preparing, submitting and resubmitting demographics and billing invoices to DASA and third party MCO-Medicaid insurers for reimbursement via FGC’s third party billing system for substance abuse and mental health services.Supporting activities may also include data entry, scanning, copying, filing and mailing.Correctly identify billing format between professional (CMS-1500) and intuitional (UB-04) claim formats.

* Tracks cash receipts, upload electronic remittance advices (ERAs), and enter MCO payments into SAMMS A/R module.

* Assists the Billing Systems Manager in processing rejected claims from DASA, HFS and a variety of MCO-Medicaid providers.

* Demonstrates attention to detail, with an ability to analyze data, and a willingness to balance multiple priorities.

* Collects, scans, and files billing records for all Medicaid and MCO clients.

* Regularly assists with cash count.

* Performs other duties as assigned by the Billing Systems Manager.

Schedule: 7:00am-3:30pm

Family Guidance Centers, Inc. is a drug free, EEO employer

Experience and Skills:

High school diploma and previous office experience is required. Previous billing experience given preference. Skills should include strong computer operation with expertise in Excel and Word, communication, the ability to work independently and the ability to work with a team framework.