Medical Billing Specialist / Lead

This is a single opening. We are hiring at either the Specialist or Lead level depending on the experience the right candidate brings. Level and compensation are determined during the interview process.
Who We Are

Counseling Works is a thriving private therapy practice with offices in Naperville, Frankfort, Lemont, and Shorewood, Illinois. We are an established group practice with a strong reputation, serving adolescents, adults, and couples across a team of roughly 50 clinicians.

As an organization, we place focus not only on our clients but on our professionals as well. With openness and collaboration at our core, we recognize the needs of our employees and work to create a positive work-life balance.
The Role

We are looking for an experienced medical biller to take on the most technical work in our revenue cycle: claims, ERA processing, denials, coding accuracy, and provider credentialing across roughly 50 clinicians and seven payer families.

Our billing function is in good shape and we want to keep it that way. Insurance AR over 90 days currently sits under 5% of total AR, well ahead of benchmark for a practice our size. You would join a three-person billing team covering eligibility and benefits, patient payments and collections, and claims and AR.

We are posting this role at two levels because we would rather find the right person than fill a fixed title:

- Billing Specialist — you own the day-to-day billing, coding, and credentialing work, reporting directly to the Director of Operations, who handles department oversight. No supervisory responsibility. If you are newer to credentialing, this is a role you can grow into with support.

- Billing Lead — you own all of the above and additionally take on department performance, team coordination, payer relationships, and process documentation.

If you are strong on the technical side and would rather not manage people, apply at the Specialist level. If you have led a billing function and want to own outcomes, apply at the Lead level. If you are unsure which fits, apply anyway and tell us what you have owned — we will find the right level together.
What You’ll Own
The following applies at both levels.
Claims and payment processing

- Manage the full billing cycle in TherapyNotes — charge entry, claim scrubbing, batch submission, resubmission, and claim holds

- Process ERAs and EOBs; post insurance payments, adjustments, and denials on a timely cycle and reconcile against deposits

- Manage payer and code configuration in the practice management system

Accounts receivable and denials

- Manage insurance accounts receivable, including aging review and resolution of unpaid and underpaid claims

- Research and resolve denials, distinguishing coding, eligibility, authorization, and provider-enrollment causes and routing each accordingly

- File and track appeals through resolution

- Identify recurring denial causes and recommend process changes that prevent them

Coding and documentation accuracy

- Review CPT and ICD-10 coding on outpatient behavioral health claims for accuracy and payer-specific requirements

- Apply and verify modifiers, place-of-service codes, and telehealth coding correctly

- Identify coding-related denial patterns and work with clinicians and client care to correct them at the source

- Keep current on coding updates and payer policy changes affecting behavioral health services

Credentialing and insurance contracting

- Assist with provider credentialing and re-credentialing

- Maintain provider credentialing files and deadlines

- Complete and maintain CAQH profiles

- Submit and track applications with commercial insurance payers

- Assist with payer enrollment and contracting

- Monitor credentialing status and follow up with insurance companies as needed

- Maintain accurate records of provider licenses, certifications, malpractice insurance, NPI information, and other credentialing documentation

- Assist with adding new clinicians t