Billing and Authorizations Specialist

Job Title: Billing & Authorizations Coordinator

Location (City, State): Chicago, IL

Compensation: $22 – $23 / hour (based on experience)

Industry: Behavioral Health | Pediatric Therapy | Revenue Cycle

Type of Assignment: Contract-to-Hire (CTH)

Benefits: This position is eligible for medical, dental, vision, and 401(k).

About Our Client:

Addison Group is hiring on behalf of our client, a growing behavioral health organization. The organization fosters a collaborative, team-focused culture and is committed to creating an inclusive, supportive environment for both families and staff. This is a smaller, close-knit team that values professionalism, thoughtful communication, and adaptability in a fast-evolving environment.

Job Description:

The Billing & Authorizations Coordinator will support the revenue cycle department by managing insurance authorizations, overseeing aspects of therapy billing, and assisting with credentialing activities. This role works closely with leadership to ensure services are properly authorized, documented, and billed accurately.

This is a full-time, hourly position with the opportunity to transition to a permanent role.

Key Responsibilities:

• Prepare and submit insurance authorization requests for therapy services in a timely manner
• Monitor authorization requirements and ensure compliance with payer guidelines
• Track expiration dates and proactively secure renewals to avoid disruption in services
• Follow up with insurance carriers regarding pending approvals or additional documentation needs
• Communicate authorization updates and requirements with internal providers and leadership
• Maintain organized tracking systems for approvals, denials, and payer communications
• Ensure approved services are accurately reflected for billing purposes
• Review, audit, and process billing for designated therapy services
• Assist with provider credentialing follow-up and maintain verification records
• Update credentialing logs and provider documentation to ensure regulatory compliance
• Support internal audits and accreditation preparation as needed
• Partner cross-functionally to ensure client accounts remain current and billing is accurate

Qualifications:

• High School Diploma or GED required
• 2–5 years of hands-on insurance billing and authorization experience (full-cycle experience preferred)
• Strong understanding of revenue cycle management processes
• Experience navigating multiple billing or EMR systems
• Proficiency in Microsoft Office (Outlook, Excel, Word, SharePoint)
• Excellent written and verbal communication skills with strong attention to tone and professionalism
• Highly organized with strong attention to detail
• Ability to manage competing priorities in a fast-paced environment
• Comfortable communicating directly with insurance representatives
• Experience with ABA or Speech therapy billing/authorizations preferred
• Familiarity with Waystar or Availity is a plus
• Bilingual skills preferred, but not required

Work Schedule:

• Monday–Friday
• Flexible start time between 8:00–9:00 AM
• Full 8-hour workday
• Hybrid schedule available after approximately 1 month of training (2–3 days remote)
• Overtime available as needed

Perks (Upon Permanent Conversion):

• Medical, Dental, and Vision coverage
• 401(k) with company match
• Paid holidays
• Accrued PTO and sick time
• Performance-based salary increases
• Monthly gym membership reimbursement
• Mobile device reimbursement
• Employee appreciation initiatives

What Our Client Is Looking For:

Our client places a strong emphasis on culture fit. They are seeking a collaborative, respectful professional who communicates thoughtfully and demonstrates emotional intelligence in both written and verbal interactions.

The ideal candidate is:

• Adaptable in a growing and evolving organization
• A critical thinker who can problem-solve independently
• Professional and polished in cross-functional communication
• Able to “go with the flow” as processes shift or improve
• Mindful of tone and interpersonal dynamics in a behavioral health setting

Additional Details:

• Reporting to Revenue Cycle Leadership
• Two-step interview process
• Free parking available
• Business casual dress code



Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

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