Medicaid Billing Specialist

Medicaid Billing Specialist Alternatives is a Behavioral Health Clinic (BHC) and Substance Use Prevention (SUD) organization. We bill a state contract for SUD services and Medicaid/MCO's for both the BHC and SUD services. The Billing Specialist will be responsible for ensuring timely and accurate billing for both services. The Billing Specialist will be responsible for correcting billing errors, tracking appeals and rejections and maintaining an 80% collection rate. The Billing Specialist will work collaboratively with the Clinical team and the Finance team to monitor the medicaid revenue cycle. Perform the following from a racial, gender, sexuality, and ability equity lens: Submit billing claims that are timely and accurate with correct CPT/ICD10 codes, modifiers, units and amounts. Resolve rejections/denials on a routine and timely basis Post and reconcile payments Monitor and follow up on outstanding AR Collaborate with the Clinical Team to ensure accurate coding Communicate with Clinical Supervisors regarding documentation and coding clarification Ensure compliance with payer guidelines, Medicaid and HIPAA regulations Use the finance accounting software to track receivables Act as a liaison between the Finance Department the Clinical team Maintain a collection rate of at least 80% Provide monthly billing report updates to Executive Team Upload DARTS admissions and discharges Bill DARTS accurately and and timely Qualifications: Medical Billing Certification or 3+ years of Medicaid Billing experience Experience with Qualifacts/Insync required Experience with DARTS Preferred Proficiency with Innovalon and Availity Proficiency with Google Workspace & Microsoft Strong organizational skills that reflect excellent attention to detail. Strong knowledge of CPT and ICD-10 coding