Billing Coordinator

About the Company

EP!C is comprised of families, staff, volunteers, and community members working together to support individuals with intellectual and developmental disabilities and their families with unique educational, residential, employment, and clinical programs tailored to each individuals abilities and needs. We began as a small, community-organized network of Peoria families in 1950 who took an innovative approach to disability by emphasizing ability over disability. We have since grown to serve individuals of all levels of ability residing across 15 counties in Illinois from finding funding to the best program and service.

When our employees succeed, the people we support succeed. At EP!C, you'll have the opportunity to lead an incredible team while making a meaningful difference in the lives of individuals with intellectual and developmental disabilities every single day.

About the Role

The Billing Coordinator will lead EP!Cs billing operations, including generating claims, creating invoices, posting and coding payments, managing denials, and supporting collections. This role is essential to maximizing claim collectability through accurate and timely billing, obtaining prior authorizations for select Behavioral Health services, and promptly resolving denied or rejected claims. The Billing Coordinator will also support EP!Cs credentialing and contracting efforts with new insurance providers and other payers. This position works closely with the Accounting and Behavioral Health teams to ensure billing activities are timely, accurate, compliant, and aligned with payer requirements and organizational policies.

The ideal candidate is detail-oriented, organized, ethical, and knowledgeable about healthcare billing practices and payer requirements in the state of Illinois. This individual should be comfortable working independently while also collaborating effectively with a team.

WHAT YOU'LL DO

• Generate and submit claims and post invoices on a weekly to monthly basis.
• Receive, code, and post payments, including EFTs, paper checks, and other payment types.
• Maintain current knowledge of CPT, ICD-10, medical billing terminology, payer requirements, and applicable Illinois billing regulations.
• Assist with credentialing and contracting EP!C with new insurance providers and other payers.
• Obtain prior authorizations for applicable services.
• Respond to and resolve patient billing questions, inquiries, and complaints professionally and promptly.
• Collaborate with the Revenue Cycle Manager and other team members to support accurate and timely staff documentation and billing notes.
• Follow all HIPAA, confidentiality, compliance, and organizational requirements.
• Fulfill mandated reporter responsibilities in accordance with applicable laws and regulations.
• Support EP!Cs mission, vision, values, strategic plan, and commitment to individual choice and quality services.

REQUIRED

• High School Diploma or GED certificate.
• 4+ years of experience in healthcare billing, invoicing, and collections , preferably within the state of Illinois.
• Experience generating, submitting, and managing healthcare claims and payments through an Electronic Health Record (EHR) system .
• Experience obtaining prior authorizations/pre-authorizations for healthcare services.
• Working knowledge of CPT and ICD-10 codes and medical billing terminology.
• Strong understanding of healthcare billing, claims processing, payment posting, denials, and collections.
• Proficiency in Microsoft Excel , including pivot tables, filtering, sorting, and basic data transformation.

PREFERRED

• Associate's or Bachelor's degree in Healthcare Administration, Medical Billing, Revenue Cycle Management, Accounting, Credentialing, or a related field.
• Healthcare billing or coding certification.
• Experience with insurance credentialing and payer contracting in Illinois .
• Experience with insurance enrollment and provider credentialing.
• Experience in Behavioral Health , human services, or community-based healthcare.
• Experience managing denials, appeals, rebilling, and accounts receivable follow-up.
• Experience training or mentoring billing staff.
• Knowledge of Illinois-specific payer requirements and regulations.

Why Join EP!C?

At EP!C, you'll have the opportunity to lead an incredible team while making a meaningful difference in the lives of individuals with intellectual and developmental disabilities every single day.

When our employees succeed, the people we support succeed.

Benefits & Perks:

• Medical, Dental & Vision Insurance
• 403(b) Retirement Plan - Employer 5% Match
• Paid Time Off
• Free 24 hour Access Employee Fitness Center
• Discounted Gym Membership
• Professional Development
• Continuing Education Opportunities
• Career Advancement
• Supportive Leadership Team