About GRO Community:

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.

Job Description:

Purpose of Position: The Billing Clerk will be responsible for collecting payments and reimbursements from Medicaid and other insurance carriers. The billing clerk will take responsibility for accurately coding, inputting data, and submitting claims sufficiently.

Essential Functions:

• Collects both Ohio and Illinois Medicaid reimbursements by gathering, coding, and transmitting client care information.

• Keeps up to date on information required for remittance of client care by Medicaid and communicates this information to revenue staff.

• Reviews client records to check for proper Medicaid coding and completeness and makes corrections accordingly.

• Analyzes client billing records for completeness and accuracy and obtains additional information and clarification, as necessary.

• Resolves billing discrepancies by conducting further research and correcting errors.

• Resolves disputed claims by consulting with state Medicaid administration claims clerks and following up on all bills not processed within usual claim period.

• Prepares reports based on Medicaid billing data and revenue.

· Ensures payments by verifying accuracy of Medicaid coding.

· Resolves disputed claims by gathering, verifying, and providing additional information and following up on claims.

· Resolves discrepancies by examining and evaluating data.

· Adjusts patient bills by reviewing remittance advice and consulting with Medicaid office.

· Prepares monthly reports of Medicaid billings, adjustments, and revenues received.

· Participates in professional educational opportunities to keep current on Medicaid billing and reimbursement procedures.

· Will collect and bill other insurance carriers for reimbursement of services as needed

Competencies:

· Integrity, discretion, and respect for confidentiality and privacy

· Excellent oral communication skills and the ability to resolve misunderstandings and errors in a diplomatic manner

· Typing, computing, and data entry skills

· Excellent communication, interpersonal, and customer service skills

· Analytical skills

· Ability to prioritize and work under pressure

· Time management

· Organizational skills

· Attention to detail

· Strong spelling, math, and financial skills

· Documentation skills

· Typing and data entry proficiency

Work Environment: Hybrid

Location: TBD

Expected Hours of Work: Business Hours, TBD

Travel: Must have access to reliable transportation to GRO Community and community sites as needed.

Qualifications:

Required Education:

· Minimum of High School Diploma, bachelor’s degree preferred

· Certified Professional Coder (CPC), Certified Coding Associate (CCA), or the Registered Health Information Technician (RHIT) required/preferred

· Active Drug Enforcement Administration (DEA) registration in order to prescribe certain medications.

Experience:

· A minimum of 2 years’ experience in medical office setting

· 2-3 years previous billing, bookkeeping, or clerical experience

· 1-2 years of Ohio Medicaid billing experience required

· 2-3 years of Illinois Medicaid billing experience required

· Indiana Medicaid Experience desired

· Some commercial and private insurance billing experience

· Proficiency in MS office and Google Suite

·

Physical Demands: n/a

What we offer:

Thrive in a family orientated work environment where we believe in the importance of mental health, wellness, and self-care. Here at GRO we recognize the importance of growth and development while striving to ensure all staff are set up for success in their endeavors as a member of our team.

Benefits: All Other Staff Level

Dental insurance | BCBS PPO Health Insurance| Vision Insurance| Employer Paid Life Insurance| Voluntary Supplemental and Life Insurance Plans| Paid Time Off | 403(b) Retirement Plan

AAP/EEO Statement

GRO Community provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, GRO Community complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

GRO Community expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of GRO Community employees to perform their job duties may result in discipline up to and including discharge.

Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities

Job Type: Full-time

Pay: $45,000.00 - $60,000.00 per year

Work setting:

• Hybrid work

Experience:

• Medicaid billing, Illinois: 1 year (Required)
• Medicaid Billing, Ohio: 1 year (Preferred)

Ability to Commute:

• Chicago, IL 60628 (Required)

Ability to Relocate:

• Chicago, IL 60628: Relocate before starting work (Required)

Work Location: Hybrid remote in Chicago, IL 60628