Billing Coordinator
About the role
Support the agency’s mission, vision, values, and strategic plan philosophy. Manage all responsibilities based on the agency's mission, using individual choice, and all appropriate policies, procedures, and regulations. Conduct oneself in a way that reflects the highest standards of professional courtesy and ethical practices to people served, staff, guardians, families, and all outside contacts.
The Billing Coordinator will lead EP!C’s billing activity through generating claims, creating invoices, coding payments, and addressing denials. This role will be instrumental in maximizing the collectability of claims through accurate billing, obtaining prior authorization for some Behavioral Health services, and promptly following up on claims denials. The Billing Specialist will also assist in the process of credentialing EP!C with new insurance providers and other payers. The person fulfilling this role will collaborate with members of the Accounting and Behavioral Health teams to support timely, accurate, and compliant billing operations.
Responsibilities
- Generate and manage claims and payments in an electronic health record (EHR) system.
- Create invoices and code payments accurately.
- Address and follow up on claims denials promptly.
- Obtain prior authorization for Behavioral Health services.
- Assist in credentialing EP!C with new insurance providers and other payers.
- Collaborate with Accounting and Behavioral Health teams to ensure timely, accurate, and compliant billing operations.
Requirements
- High School Diploma or GED Certificate.
- Further education or certification(s) in healthcare administration, healthcare billing, credentialing, or a related field preferred.
- 4+ years of experience with healthcare billing, invoicing, and collections in the state of Illinois.
- Proficiency in generating and managing claims and payments in an electronic health record (EHR) system.
- Experience obtaining pre-authorization for services.
- Experience credentialing and facilitating contracts with insurance providers in the state of Illinois preferred.
Skills
- Knowledge of CPT, ICD-10 codes, and medical billing terminology.
- Exceptional attention to detail.
- Willingness to learn and adopt processes defined by Accounting and Behavioral Health staff members.
- Proficient in MS Excel (pivot tables, filters, sorting, and basic data transformation).
- Excellent organizational and time management skills.
- Ability to communicate effectively in written and verbal forms.
- Strong ethical conduct.
Physical Requirements
- Frequent walking and sitting.
- Regular reaching, grasping, and standing.
- Other physical activities related to an office environment.
- Operates general office equipment, including multi-line phone, fax machine, printer, copier, and personal computer.
- Ability to lift 50 lbs.
Benefits
- Competitive pay with performance-based incentive opportunities.
- Comprehensive medical, dental, and vision insurance.
- 403(b) retirement savings plan.
- On-site employee wellness center.
- Discounted membership to an off-site fitness center.
- Ongoing professional development and career advancement opportunities.
- Growth and leadership development opportunities.
- Continued education, certifications, and specialized training programs.
- Supportive team environment focused on collaboration and employee success.
- Meaningful work that positively impacts the lives of individuals in our community.