Medical Billing and Claims Specialist

Be part of an organization where your expertise truly makes an impact! Apply today and grow your career with purpose!

Helping Hand is seeking a Medical Billing and Claims Specialist to join our billing team and ensure timely, accurate posting of insurance claims and payments. Reporting to the Billing and Claims Manager, you'll handle the day-to-day billing operations and help drive revenue cycle efficiency for our outpatient clinic and state-funded programs.

SCHEDULE AND COMPENSATION:

• On-site position, full-time, Monday - Friday. 
• 40 hours per week.
• Salary range $55,000-$60,000/year (salaried/exempt).  
• Salary based on skills and experience.
• Up to 8% annual bonus potential.
• 403b retirement plan with up to a 4% company match.

HELPING HAND PERKS:

• Purpose-driven work that changes lives.
• Tuition reimbursement and clear career growth opportunities.
• Traditional medical (BCBS of IL), dental, and vision insurance.
• Employer-paid Group Life/AD&D, Short-Term, and Long-Term Disability.
• Team member appreciation events and year-round recognition.
• Employee Assistance Program (EAP) and wellness support.
• Generous PTO including paid holidays, vacation, accrued sick time, and personal days.
• PSLF-qualifying employer under the Federal Public Service Loan Forgiveness Program.

WHAT YOU'LL DO:

• Submit accurate and timely claims to Medicare, Medicaid, private insurers, and HMOs.
• Post and reconcile payments; manage credit balances and refunds.
• Follow up on denied or unpaid cliams and resolve discrepancies.
• Maintain therapist credentialing and payer contract records.
• Track insurance authorizations, eligibility, and clinical documentation compliance.
• Generate AR and collections reports; support audits and reporting needs.
• Update client billing records and payer information.
• Respond to client/family inquiries regarding coverage and billing.
• Assist with DHS billing and contribute to process improvement initiatives.
• Other duties as assigned.

WHAT YOU BRING:

Education/Training:

• Associate degree (preferred) or 4+ years of billing experience.
• High School Diploma or GED required.

Experience: 

• 4 years of related experience may be accepted in place of a degree.
• An equivalent combination of education and experience may also be accepted.
• Familiarity with ICD-10, CPT, and HCPSC coding, and EOB review.
• Strong knowledge of Medicare, Medicaid, commercial insurance, and managed care billing.

Skill Sets:

• Proficiency in Microsoft Office and medical billing software.
• Ability to manage multiple priorities independently and as part of a team.
• Strong attention to detail, organization, and confidentiality.
• Excellent communication and problem-solving skills.
• Ability to promote and adhere to company values. 
• A commitment to a diverse, inclusive, and equitable work environment. 

WORK ENVIRONMENT:

• The person in this position needs to occasionally move about inside the office to assist others, access file cabinets, office machinery, etc. 
• The ability to observe details at a close range (within a few feet of the observer). 
• Consistently position self to maintain files in cabinets or assist others. 
• The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in all situations.  
• Shared, multi-task, multi-person business office setting.

Helping Hand is committed to fostering a diverse and inclusive workplace. We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. We believe that embracing our differences strengthens our community and enhances the quality of care we provide.