Medicaid Billing Specialist (Contract) (Hybrid MN)

Medicaid Billing Specialist (Contract) (Hybrid MN)

We have an opportunity for a full-time Medicaid Billing Specialist (contract) to coordinate Medicaid claims submission for the company. This position is based in our Resource Center located in Minnetonka, MN. Primary responsibilities include financial oversight of Medicaid revenue line, claims submission, maintaining accurate records, and working collaboratively to ensure timely payment.

Responsibilities

• Financial oversight of Medicaid revenue line
• Submit Medicaid claims monthly
• Ensure billing accuracy for dates and services rendered
• Work with MCOs/vendors to set up autopay if applicable
• Manage MCO payments and work to get 100% of claims paid through ACH vs check
• Maintain service authorization binders and spreadsheets to ensure accurate billing rates
• Update billing system to reflect any change in daily rates
• Update billing system to reflect resident days out of the community
• Collaborate with community to ensure residents receive timely communication if converting to Medicaid
• Proactively look for new service authorizations prior to expiration to ensure continuous claim submission and payment
• Work with case manager to ensure new authorizations are received upon expiration
• Maintain accurate spreadsheets of Medicaid residents, service authorization information, fees, and dates of billing
• Apply Medicaid payments in billing system
• Bill residents in billing system for required patient obligations
• Contact Medicaid providers to request information, ask questions about payments and service authorizations
• Review Medicaid accounts receivable and work to resolve any denied or unpaid claims
• Verify and reconcile Medicaid payments received
• Assist communities with monitoring and provide reporting on residents migrating from private pay to Medicaid or other government programs

Qualifications

• Bachelor's Degree in related field preferred
• 2+ years of experience in Medicaid billing
• Strong computer and software skills. Eldermark and PointClickCare experience a plus
• Familiarity with Medicaid billing procedures and regulations
• Excellent attention to detail and must maintain accuracy
• Ability to work independently with minimal supervision and collaboratively as a team

Salary $25 to $30 per/hour (6-month contract with potential to extend)

This is a hybrid role with the individual working in our Minnetonka, Minnesota building several days a week.

A career with a purpose starts here! This is an exciting time to join New Perspective. We are a growing company serving over 4,000 seniors today with a goal of reaching 10,000 within the next few years. Our growth is creating energy, excitement, and the opportunity to make a difference in the lives of others. We have a culture of servant leadership and collaboration that supports each team member's personal and professional development. At New Perspective you're not just an employee, you are a valued member of our team.

New Perspective Senior Living is an equal opportunity employer.