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Billing and Claims Manager

Job Details

Countryside - Countryside, IL
Full Time
2 Year Degree
$72000.00 - $75000.00 Salary
Negligible
Day
Nonprofit - Social Services

Description

Make a meaningful impact while leading with purpose!  

Helping Hand is seeking a Billing and Claims Manager to oversee and optimize our billing operations.  Reporting directly to the CFO, this role ensures accurate and timely submission of billing claims, insurance reimbursements, and client billing across multiple programs supporting individuals with intellectual and developmental disabilities.

You'll lead a team (Medical Billing Specialist and Billing Specialist) and manage the entire billing cycle including state and insurance claim submission, payment posting, reconciliation, reporting, and compliance - while contributing to our mission of genuine care and education for all.

 

SCHEDULE AND COMPENSATION:

  • On-site position, weekdays, 40 hours per week.
  • Salary range $72,000-$75,000/year (salary/exempt)
  • Salary based on skills and experience.
  • Up to 8% annual bonus potential.
  • 403b retirement plan with up to a 4% company match.

 

HELPING HAND PERKS:

  • Purpose-driven work that changes lives.
  • Tuition reimbursement and clear growth opportunities.
  • Traditional medical (BCBS of IL), dental, and vision insurance.
  • Employer-paid Group Life/AD&D, Short-Term, and Long-Term Disability.
  • Team member appreciation events and year-round recognition.
  • Employee Assistance Program (EAP) and wellness support.
  • Generous PTO including paid holidays, vacation, accrued sick time, and personal days.
  • PSLF-qualifying employer under the Federal Public Service Loan Forgiveness Program.

 

WHAT YOU'LL DO:

  • Supervise and mentor billing team members, conduct evaluations, and provide training.
  • Oversee accurate and timely billing to the State of Illinois DHS, local school districts, and insurance payers (Medicare, Medicaid, HMOs, PPOs, and private insurance).
  • Manage cash receipts, reconciliations, and adherence to financial policies.
  • Lead claim denial resolution and improve first-pass claim acceptance rates.
  • Maintain credentialing data for licensed therapists.
  • Evaluate billing software and tools as well as implement workflow improvements.
  • Coordinate insurance eligibility and authorizations for new clients.
  • Prepare and analyze AR, collections, and cash flow reports.
  • Ensure timely and accurate month-end close processes.
  • Support audits and maintain compliance with all payer regulations.
  • Serve as backup during staff transitions or absences.
  • Other duties as assigned.

Qualifications

WHAT YOU BRING:

Education/Training:

  • Associate degree (preferred) or 5+ years of billing experience.
  • High School Diploma or GED required.

Experience:

  • 3+ years of supervisory experience.
  • A combination of education and experience may be considered.

Skill Sets:

  • Strong knowledge of Medicare, Medicaid, commercial insurance billing, and related coding (ICD-10, CPT, HCPCS).
  • Proficiency with Microsoft Office and medical billing software.
  • Excellent communication, problem-solving, and leadership skills.
  • Ability to promote and adhere to company values.
  • A commitment to a diverse, inclusive, and equitable work environment.

 

WORK ENVIRONMENT:

  • The person in this position needs to occasionally move about to assist others, access file cabinets, office machinery, etc. 
  • The ability to observe details at a close range (within a few feet of the observer). 
  • Consistently position self to maintain files in file cabinets or assist others. 
  • The ability to communicate information and ideas so others will understand.  Must be able to exchange accurate information in these situations.
  • Shared, multi-task, multi-person business office setting.

 

Helping Hand is committed to fostering a diverse and inclusive workplace. We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. We believe that embracing our differences strengthens our community and enhances the quality of care we provide.

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