Teams at GRO Community

Processes Illinois and Ohio Medicaid and third-party insurance claims, including coding, electronic submission, eligibility verification, reimbursement tracking, and denial resolution. Reviews records for authorization and documentation accuracy, adjusts bills based on remittance advice, follows up on aged claims, prepares monthly revenue reports, identifies reimbursement risks, and supports billing compliance audits. The role requires knowledge of Medicaid regulations, EHR systems, Medicaid portals, HIPAA, and revenue cycle procedures.

Manage Medicaid and third-party claims for Illinois and Ohio: verify coding and authorizations, submit electronic claims, research and resolve denials, track reimbursements, prepare monthly billing reports, and ensure Medicaid compliance and HIPAA confidentiality.

Provides case management, assessments, life-skills coaching, workshops, individualized housing planning, service referrals, rental-unit assistance, crisis support, and client documentation for residents in an independent housing program.