We are looking for an experienced Medical Billing Specialist to support billing operations for a skilled nursing environment in Downers Grove, Illinois. This Long-term Contract position focuses on accurate claims processing, reimbursement follow-up, and account maintenance across Medicaid, Medicare, managed care, and private-pay billing. The ideal candidate brings strong knowledge of long-term care revenue cycle practices, works confidently in PointClickCare, and communicates effectively with residents, families, payers, and agency representatives.

Responsibilities:

• Manage resident billing activities for skilled nursing and long-term care services, ensuring charges are entered accurately and processed on schedule.
• Prepare and submit claims to Medicaid, Medicare, managed care organizations, and private-pay sources while tracking timely reimbursement.
• Review census updates, coverage changes, admissions, discharges, transfers, and authorizations to keep resident accounts current and correct.
• Investigate denied claims, payment differences, and billing exceptions, then take corrective action to resolve outstanding issues.
• Oversee Medicaid eligibility follow-up, renewal tracking, and documentation status in coordination with residents, families, case workers, and state agencies.
• Monitor aging receivables and pursue collection efforts on unpaid balances with insurers, government programs, and responsible parties.
• Reconcile billing activity, payments, and related resident financial records to support accurate account balances and reporting.
• Use PointClickCare to maintain payer information, account activity, and census details, and generate reports for leadership review.
• Partner with admissions, clinical, and finance teams to improve billing accuracy and maintain compliance with facility, state, and federal requirements.

The salary range for this position is $20 to $25. Benefits available to contract/temporary professionals, include medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. Our specialized recruiting professionals apply their expertise and utilize our proprietary AI to find you great job matches faster.