Medicaid Billing and Credentialing Coordinator
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Job Location:
Oak Brook, IL - USA
Monthly Salary:
$ 20 - 25
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Effective Date: May 5 2026
NON-MANAGEMENT JOB DESCRIPTION
Job Title: Medicaid Billing and Credentialing Coordinator
Exempt/Non-exempt: NON-EXEMPT
Immediate Supervisor: Senior Director of Behavioral Health and Clinical Services
Compensation Range: $20 $25
Essential Functions:
1. Primarily responsible for managing Medicaid billing operations including preparing reviewing and submitting claims in compliance with payer requirements ensuring all services are supported by accurate documentation and appropriate coding.
2. Adhere to the organizations hybrid work expectations which may include a flexible work arrangement of up to two remote workdays per week following the successful completion of the training period. Hybrid scheduling is optional contingent upon leadership approval and requires a minimum of three on-site workdays per week based on departmental and organizational needs.
3. Monitor claims for accuracy completeness and timeliness and investigate correct and resubmit denied or unpaid claims as needed.
4. Analyze trends in claim denials and implement proactive solutions to improve reimbursement outcomes.
5. Maintain and apply working knowledge of ICD-10 CPT and HCPCS coding standards to ensure accurate billing practices.
6. Manage provider and facility enrollment revalidation and recredentialing processes with Medicaid and other payers.
7. Ensure accuracy of provider information including NPIs TINs taxonomy codes service locations and effective dates.
8. Maintain enrollment records monitor renewal timelines and prepare delegated credentialing rosters.
9. Research and resolve billing and enrollment-related issues including claim denials and payer discrepancies.
10. Serve as a liaison between the organization and insurance payers to address and resolve reimbursement issues.
11. Maintain accurate documentation of billing activity claim status and communications in compliance with regulatory requirements.
12. Ensure compliance with Medicaid regulations HIPAA standards and organizational policies.
13. Support internal and external audits and reporting related to billing and provider enrollment.
14. Collaborate with clinical intake IT and finance teams to ensure billing readiness and operational efficiency.
15. Identify and implement process improvements to enhance efficiency accuracy and overall revenue cycle performance.
16. Participate in ongoing training and stay current on Medicaid billing practices and regulatory updates.
17. Perform other duties as assigned.
Knowledge and Ability Requirements:
Strong knowledge of Medicaid billing processes regulations and payer requirements
Proficiency in ICD-10 CPT and HCPCS coding systems
Understanding of provider enrollment and credentialing processes
Ability to analyze and resolve billing discrepancies and claim denials
Knowledge of HIPAA compliance and healthcare privacy regulations
Strong attention to detail and accuracy in data entry and documentation
Effective communication skills for interacting with internal teams and external payers
Ability to manage multiple priorities and meet deadlines in a fast-paced environment
Education and Experience:
An associates or bachelors degree in Healthcare Administration Business Finance or a related field is required. Candidates must have a minimum of 23 years of healthcare billing experience with a strong emphasis on Medicaid billing. Experience with provider enrollment and credentialing processes is required. Professional certifications such as Certified Professional Biller (CPB) Certified Revenue Cycle Specialist (CRCS) or Certified Medical Reimbursement Specialist (CMRS) are preferred. Prior experience in a behavioral health setting is highly desirable.
Physical Demands and Other Requirements:
To perform this job successfully an individual must be able to perform the essential duties listed in the job description satisfactorily. While performing the duties of this job the employee is regularly required to talk or hear. The employee is frequently required to sit. The employee is occasionally required to stand; walk; use hands to finger handle or feel objects or controls; reach with hands and arms. Capable of operating standard office equipment including a computer and keyboard calculator typical business machines such as a fax machine and copier. The employee must occasionally lift and/or move up to 20-30 pounds. Specific vision abilities required by this job include close vision distance vision and the ability to adjust focus. The employee is required to have valid drivers license auto insurance and must be able to safely operate a motor vehicle. The work environment characteristics include a noise level which is usually low to moderate.
Position Responsibilities/Program Execution and Decision Making:
Diversity and Inclusion/ Professionalism:In all aspects of their work presents as a role model to others behaving in a way which actively supports LCFS as a welcoming community promotes diversity and inclusion in the workplace and collaborates with others to further equity and dismantle barriers to a more inclusive experience of community. Participates in annual professional development and/or advocacy regarding inclusion.
Ethical Conduct:Follows all ethics policies and procedures related to program execution and decision making as defined by the agency as well as any related professional licensing regulatory or accrediting body. Maintain confidentiality of client staff and agency information. Reports any known or suspected breaches of confidentiality in accordance with policy. Reports possible misconduct or relevant errors/ oversight in a timely manner and responsibly addresses related issues with chain of command.
Communication/ Interpersonal Skills: Consistently conveys clear accurate timely and respectful communication appropriate for the situation. Informs appropriate management staff when incident occurs or a crisis situation. Maintains professional boundaries with clients/residents staff interns volunteers and vendors. Able to successfully share skills and concepts with others and works effectively with others under time and environmental pressures.
Safety and Agency Resource Utilization: Demonstrates sound judgement and foresight in safety awareness and in daily work. Notifies in a timely manner the supervisory chain of any incidents or circumstances that need attention. Report all suspicions or allegations of abuse immediately to their supervisor. Ensures appropriate utilization of materials and resources and minimizes waste.
Other Responsibilities: All other tasks and responsibilities as assigned.
LCFS IS AN EQUAL OPPORTUNITY EMPLOYER
Required Experience:
IC
About Company
Lutheran Child and Family Services of Illinois improves the well-being of people across the state by protecting children, strengthening families and building futures for those who have experienced trauma. We do this as a leading provider of a variety of child welfare services. LCFS is ... View more
