The Senior Wellness and Independence (SWI) Billing Speciaist is responsible for submitting normal claims, corrected claims and/or claims appeals to payers, and obtaining service authorization in timely manner, keeping track of the claims status, and preparing monthly billing reports to SWI Manager for review.
DUTIES AND RESPONSIBILITIES
Prepares and submits claims to payers: checks the insurance status of the clients from the Adult Day Service (ADS) and In-home Service (INH) teams on regular basis using Illinois Department on Aging Participant Search Screen or other billing platforms. Checks claims status: tracks the claim status using the designated billing platforms. Submits corrected claims or appeals: follows up on any AR claim over 30 days old. Obtains service authorization from MCOs: keeps tracking of service authorization from MCOs. Prepares and submits ADS and INH billing reports to Senior Wellness and Independence (SWI) Manger on monthly basis: checks the billing report against the billing vouchers prepared by the ADS and INH teams.
Associates degree or above. Previous medical billing experience along with knowledge of billing related reporting is a plus. Be able to read, write, and speak English. Knowledge of billing/collection practices is a plus.
Internal Number: 1168
About Chinese American Service League
CASL is the largest, most comprehensive social service agency in the Midwest dedicated to serving the needs of Chinese Americans. For 40 years, we have welcomed all who walk through our doors regardless of backgrounds, lifestyles, and needs:
• Providing an educational and cultural foundation for our children
• Ensuring our seniors live full and independent lives with dignity
• Enhancing education and training for tomorrow’s workforce
• Strengthening families while honoring cultural heritage
• Securing our community’s housing and financial well-being
With more than 500 multilingual and multicultural professional and support staff — complemented by a team of over 250 dedicated volunteers — we offer our clients vital physical, economic, mental, and social support. Our $13+ million budget — which includes generous contributions from individuals, foundations, and corporate donors — supports programming that primarily serves immigrants who often lack formal education, possess few transferable job skills, and know little of the new world around them. Since many of these individuals do not speak English and sometimes have no family or friends in the area, CASL becomes their insta...nt family, friend, and teacher. With our support, CASL clients become thriving residents of the greater Chicago community, making valuable contributions as independent, productive members of society. In the words of one of those clients, “We had nothing but our dreams. The Chinese American Service League helped us realize them.”