Illinois HCBS Billing Specialist

Job Summary

A company is looking for an HCBS Billing Specialist who will manage billing and claims for Home and Community-Based Services.

Key Responsibilities:

• Prepare and submit accurate billing claims for HCBS services to Medicaid, MCOs, and other payers
• Verify client eligibility and authorizations prior to billing
• Track claim status and resolve denials, rejections, or payment discrepancies in a timely manner

Required Qualifications, Training, and Education:

• High school diploma or equivalent required; associate or bachelor's degree in a related field preferred
• Minimum of 3-5 years of prior experience in billing in a LTC/SNF setting
• Detailed knowledge of Illinois Medicaid regulations and extensive knowledge of billing procedures for all payer types required
• Proficiency with billing software and electronic medical record (EMR) systems required
• Professional image in both appearance and behavior