TL; DR - Highlights
Role:
Manage Illinois Medicaid income adjustments and liability updates across MEDI, ABE, RFMS, and PointClickCare (PCC) platforms
Location:
Lincolnwood, IL office. Remote or hybrid options available for Illinois residents, based on experience level (see Work Arrangement below)
Required:
2+ years of Medicaid billing experience in a care facility (SNF/Long-Term Care) or medical billing company
Benefits:
Full health, vision, and dental coverage; 401(k) retirement plan; Paid Time Off (PTO)
Pay: $24.00 - $29.00/hour
About Lyric National At Lyric National Inc., we're rewriting the script for long-term care, providing skilled nursing facilities with a single-source concierge platform, and residents with access to robust medical options that enhance their quality of in-facility care. We are committed to improving healthcare access and financial sustainability, serving as a dedicated advocate in building the standard of senior care.
Job Overview:
We are seeking a Medicaid Billing Specialist with experience in Illinois Medicaid systems to join our Lincolnwood office operations. This role centers on four platforms (MEDI, ABE, RFMS, and PCC) and the income liability workflow that connects them. You will own the accuracy of each income adjustment from the first document gathered to the final record update, and you will serve as a technical billing resource for our Sales team as new facility partners come on board. Experienced MEDI users can work remotely or hybrid, while candidates newer to MEDI will start with on-site support.
Core Responsibilities:
Medical Electronic Data Interchange (MEDI): Own the end-to-end process within the Illinois MEDI system, ensuring all resident data, eligibility, and liability updates are processed without error Application For Benefits Eligibility (ABE): Gather and upload all necessary documents into the ABE platform pertaining to all income adjustments Resident Fund Management Service (RFMS): Accurately log all new financial details to RFMS regarding updated resident income PointClickCare (PCC): Submit updated resident records and adjustments into PCCStrategic Advocate: Collaborate with the Sales team during facility onboarding to provide technical billing guidance and assist in the onboarding of new partners
Job Description:- Key Responsibilities:
- Process daily income adjustments for Medicaid residents, including income liability changes, through MEDIKeep records consistent across MEDI, ABE, RFMS, and PCC so a single income change is reflected accurately in every system
- Serve as the technical billing lead during facility onboarding, supporting Sales and new partner facilities
- Identify gaps in current billing procedures and implement refined processes (e.g., a streamlined income-adjustment audit)
- Stay current on new systems, internal processes, and Illinois regulatory updates
- Work Arrangement (Illinois Residents):Your work arrangement depends on your experience with the Illinois MEDI system:2+ years of hands-on MEDI experience: Remote or hybrid, your choice, with occasional in-office days for team meetings and onboarding support
- Less than 2 years of MEDI experience: Hybrid or on-site at our Lincolnwood office during an initial training period, with the opportunity to move to a remote or hybrid schedule once you've shown proficiency in MEDI and the connected systems
Job Requirements
Experience:
2+ years of Medicaid billing experience within a care facility (i.e., Skilled Nursing Facility (SNF), Long-Term Care) or medical billing company
Systems Knowledge: Working knowledge of income adjustments and liability updates; experience with ABE, RFMS, and PointClickCare (PCC) is strongly valued
Operational Expertise: Strong knowledge of SNF operations and resident income liability
Collaboration: Comfortable working with Sales and facility staff during onboarding, and able to explain technical billing concepts clearly
Technical Skills:
Microsoft Office Suite; experience with CRM tools (Salesforce preferred) Professional Mindset: A self-starter who works autonomously with a high level of accuracy and collaborates well with stakeholders
Education: High school diploma or equivalent
Preferred Qualifications
Education: Associate or Bachelor's degree
Experience:
Prior healthcare administrative, finance, accounts receivable, or operations experience within care facilities (i.e., SNF, Hospice Care, Physical Therapy, Home Help or Hospitals) Onboarding: Prior experience supporting new facility or client onboarding
Benefits:- Health Insurance
- Dental & Vision Coverage
- Paid Time Off (PTO)401(k) Retirement Plan
