Senior RCM Billing Specialist

$30.07 - 34.58 / Hr.

Schedule : Monday - Friday; 8 : 00 am - 4 : 30 pm (Flexible schedule possible)

Hybrid : 3 days in-office; 2 days remote

Location : Skokie, IL

The Senior RCM Billing Specialist is responsible for timely and accurate submission of claims to payers, ensuring compliance with state, federal, and payer-specific requirements under both Fee-for-Service (FFS) and CCBHC billing models, as well as commercial payers. This role prepares and submits claims, works edits, follows up on rejections, and ensures Trilogy's billing processes run efficiently. The Senior RCM Billing Specialist collaborates with authorization, credentialing, collections, and revenue integrity staff to ensure claims are submitted cleanly and payments are not delayed.

Essential Responsibilities

• Audit claims, charge capture, and billing workflows for accuracy and compliance.
• Review all behavioral health billing manuals and provider manuals regularly; communicate updates to leadership.
• Collaborate with clinical staff to ensure documentation supports billing requirements; provide education when needed.
• Monitor rejection trends, escalate systemic issues, and recommend solutions.
• Partner with Billing & Collections Supervisor and Network Administrator to ensure EMR fee schedules and codes are current.
• Ensure all new payer billing processes are correctly configured and tested in the clearinghouse prior to claim submission.
• Support payer audits, compliance reviews, and special projects.
• Attend payer webinars, provider calls, and training sessions to stay up to date on policy changes, billing requirements, and compliance updates; communicate updates to leadership
• Develop recommendations for reducing rejections and denials to improve revenue capture.
• Maintain and update documentation of billing workflows.
• Perform other duties and projects as assigned.

Qualifications

Benefits :

Equal Opportunity Employer

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