Billing representative Jobs in Chicago, IL

Core ResponsibilitiesRevenue Cycle OversightEnsure timely submission of all claims (Medicaid, commercial, private pay)Ensure timely completion of Verification of Benefits and coordinate communication with clients, clinicians and intake teamManage and oversee pre-authorizations as neededEnsure timely processing and collection of all payments that are client responsibilityOversee claim denial, rejection, and appeal processes with a high resolution rateMonitors and reduces accounts receivable agingTracks and resolve unsubmitted sessions and billing discrepanciesEnsure accurate, timely payer enrollment and credentialing coordinationMaintain compliance with state and federal billing regulationsGrant-Supported Therapy Revenue & ReportingTrack and reconcile therapy services funded by restricted grants, contracts, or scholarship programsMaintain accurate internal coding to distinguish grant-supported sessions from private pay servicesPrepare financial documentation required for reimbursement-based grants, including session logs and billing summariesGenerate internal monthly reports detailing:Grant-supported sessions deliveredRevenue billed vs receivedOutstanding receivables by grant sourceCoordinate with Clinical and Development teams to ensure accurate financial reporting tied to grant deliverablesFinancial Reporting & MetricsGenerate monthly and annual billing reports, including:Claims submitted, denied, rejected, appealedAccounts receivable analysisAging reportsRevenue trendsClinician productivity metrics (in collaboration with Clinical Leadership)Identify workflow bottlenecks and propose corrective systemsProvide leadership with clear, timely data to inform decision-making and continual operational improvementsBilling Team Leadership & Workflow ManagementParticipate in regular team meetings to manage workflow and prevent bottlenecksCreate and maintain clear task delegation structures as neededEnsure accountability for deadlines and follow-throughEstablish communication norms for availability, workload changes, and deliverablesParticipate in Billing On-Boarding Orientation and Off-Boarding process with clinical staffCross-Departmental CoordinationServe as primary point of contact for clinician and client billing concernsCollaborate with Clinical Team and Admin Team to resolve billing issues impacting clientsSupport clinicians and clients in understanding insurance processes while maintaining clear role boundariesRequired Qualifications3+ years experience in behavioral health billing or healthcare revenue cycle managementDemonstrated experience supervising staff or managing billing workflowsStrong familiarity with Medicaid billing and commercial insurance claimsExperience with EHR systems and billing softwareDeep familiarity with ICD-10 and CPT billing codesHigh organizational and systems-level thinking skillsDemonstrated ability to meet deadlines consistentlyStrong written and verbal communication skillsCommitment to LGBTQ+ affirming care and organizational values Preferred QualificationsExperience in nonprofit healthcare settingsKnowledge of Illinois Medicaid billing regulationsExperience developing billing systems during organizational growthComfort analyzing data trends and producing financial summariesFamiliarity with grant-funded service billing structures Who This Role Is ForThis role is ideal for someone who:Thrives in structured systems and improves themTakes ownership of outcomes rather than waiting for directionCommunicates proactively when barriers ariseUnderstands that access to mental health care depends on billing accuracyCan hold both accountability and collaboration at the same timeIs energized by helping a growing mission-driven organization stabilize and scaleCompensation & BenefitsSalary range: $78,000 - $85,000 (commensurate with experience)Hybrid or Remote (IL based) work flexibilityGenerous PTOHealth benefitsRetirement optionsProfessional development supportThe opportunity to help build infrastructure for LGBTQ+ mental health equity in Illinois
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