Medicaid Billing Specialist

Alternatives

Billing Specialist ensuring timely and accurate Medicaid billing for Behavioral Health and Substance Use Prevention services. Collaborating with Clinical and Finance teams to monitor the revenue cycle.

Posted 7/24/2026part-timeChicago • Illinois • 🇺🇸 United StatesMid-LevelSenior💰 $27 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical billing processes, including accurate submission of claims with CPT and ICD-10 codes, while ensuring compliance with Medicaid and HIPAA regulations. Proficient in using billing software and maintaining high collection rates through effective communication and collaboration with clinical teams.

Highest-signal resume keywords

Medical Billing Certification3+ Years Medicaid Billing ExperienceCPT Coding KnowledgeICD-10 Coding KnowledgeExperience with Qualifacts/Insync

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT CodingICD-10 CodingBilling Claims SubmissionPayment ReconciliationAccounts Receivable Monitoring

Soft Skills

Strong Organizational SkillsAttention to DetailEffective Communication

Tools & Technologies

QualifactsInsyncDARTSInnovalonAvailityGoogle WorkspaceMicrosoft Office

Certifications & Qualifications

Medical Billing Certification

Industry Keywords

Medicaid BillingPayer GuidelinesHIPAA ComplianceBilling Report UpdatesCollection Rate

About the role

Key responsibilities & impact

Submit billing claims that are timely and accurate with correct CPT/ICD10 codes, modifiers, units and amounts.
Resolve rejections/denials on a routine and timely basis
Post and reconcile payments
Monitor and follow up on outstanding AR
Collaborate with the Clinical Team to ensure accurate coding
Communicate with Clinical Supervisors regarding documentation and coding clarification
Ensure compliance with payer guidelines, Medicaid and HIPAA regulations
Use the finance accounting software to track receivables
Act as a liaison between the Finance Department the Clinical team
Maintain a collection rate of at least 80%
Provide monthly billing report updates to Executive Team
Upload DARTS admissions and discharges
Bill DARTS accurately and timely

Requirements

What you’ll need

Medical Billing Certification or 3+ years of Medicaid Billing experience
Experience with Qualifacts/Insync required
Experience with DARTS Preferred
Proficiency with Innovalon and Availity
Proficiency with Google Workspace & Microsoft
Strong organizational skills that reflect excellent attention to detail.
Strong knowledge of CPT and ICD-10 coding

Benefits

Comp & perks

Blue Cross Medical/Dental/Vision
403(b) Retirement Plan
Holidays
Paid Time Off
10 weeks paid Parental leave
EAP