Revenue Cycle Biller - Cincinnati

Job Title: Revenue Cycle Biller

Location: Cincinnati Job Type: Full-Time

Reports to: Director of Revenue Cycle | Direct Reports: none

About Us:

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.

Position Summary:

The Revenue Biller is responsible for managing and processing Medicaid and third-party

insurance claims for services delivered across Illinois and Ohio operations. This role ensures

accurate coding, timely submission, reimbursement tracking, and resolution of claim

discrepancies to support optimal revenue cycle performance.

The Revenue Biller plays a critical role in maintaining compliance with state Medicaid

regulations, improving reimbursement efficiency, and safeguarding organizational revenue

integrity.

Key Responsibilities:

Medicaid Billing & Reimbursement

• Collect and process Ohio and Illinois Medicaid reimbursements by gathering, coding, and transmitting client service information accurately and timely.
• Review client records to verify proper Medicaid coding, service authorization, and documentation completeness
• Submit electronic claims through designated Medicaid portals and billing platforms.
• Verify accuracy of Medicaid coding prior to submission to ensure payment integrity.
• Monitor claim status and ensure timely adjudication within standard processing periods.

Claim Resolution & Follow-Up

• Investigate and resolve billing discrepancies through detailed research and data analysis.
• Adjust patient bills based on remittance advice and Medicaid correspondence.
• Resolve denied or disputed claims by consulting with Medicaid claims representatives and providing additional documentation as required.
• Follow up on unpaid or delayed claims within standard claim aging timelines.
• Maintain detailed documentation of claim follow-up and resolution efforts.
• Revenue Integrity & Reporting
• Analyze billing records for completeness and accuracy; obtain clarifications when
• needed.

Prepare monthly reports summarizing:

• Medicaid billings submitted
• Adjustments and write-offs
• Payments received
• Outstanding receivables
• Track reimbursement trends and flag revenue risks to leadership.
• Assist in internal audits related to Medicaid billing compliance.

Insurance & Third-Party Billing

• Collect and bill commercial insurance carriers and other third-party payers as applicable.
• Verify eligibility and coverage prior to billing.
• Ensure coordination of benefits when multiple payers are involved.

Compliance & Professional Development

• Stay current on Illinois and Ohio Medicaid billing regulations, coding updates, and
• reimbursement requirements.
• Participate in professional development opportunities related to Medicaid billing and
• revenue cycle management.
• Maintain confidentiality and compliance with HIPAA and organizational standards.

Competencies:

• Revenue integrity mindset
• Regulatory compliance awareness
• Analytical problem-solving
• Detail orientation
• Accountability & follow-through
• Multi-state operational knowledge

Work Setting:

• Onsite Office Setting
• May require coordination with multi-state teams
• Standard business hours with occasional deadline-driven demands

Qualifications:

• Bachelor's degree in Healthcare Administration, Business, Finance, or related field required
• Billing/Coding Certification desired.

Experience

• Minimum 2–3 years of Medicaid billing experience (Illinois and/or Ohio preferred)
• Experience working in behavioral health, community mental health, or social services
• billing strongly preferred
• Experience with electronic health record (EHR) systems and Medicaid portals required

What We Offer:

• Competitive salary and benefits package.
• A supportive and dynamic work environment committed to social impact.
• Opportunities for professional development and growth.

How to Apply:

At GRO Community, we believe in healing through empowerment and innovation. Our work

centers on serving individuals and families with compassion and integrity. Join our team to make

a meaningful impact while building your professional skills in a supportive and mission-driven

environment.

Interested candidates should submit a resume and cover letter detailing their relevant

experience to [email protected].