Medicaid / MCO Billing Specialist

Join Our Team as a Medicaid Billing Specialist

Ensure Accuracy. Support Compliance. Make an Impact.

We are seeking a detail-oriented and dependable Medicaid Billing Specialist to join our growing team! This position plays a vital role in managing Medicaid billing operations to ensure timely, accurate, and compliant reimbursement for patient services. Success in this role requires strong attention to detail, a solid understanding of Medicaid processes, and the ability to work in a fast-paced, team-oriented environment.

Your Impact as a Medicaid Billing Specialist

In this role, you will:

• Prepare, review, and submit Medicaid claims for reimbursement in a timely and accurate manner
• Research and resolve billing discrepancies, denials, and payment issues
• Verify patient coverage and eligibility through Medicaid and other payer portals
• Ensure compliance with all Medicaid guidelines, regulations, and billing codes
• Communicate with facilities, insurance providers, and internal departments to gather missing documentation and clarify information
• Monitor and track aging reports, following up on outstanding claims
• Process adjustments and corrections as needed to maintain account accuracy
• Maintain detailed and organized records of all billing activity
• Assist with audits, reporting, and data analysis related to Medicaid billing performance
• Stay current with Medicaid billing updates and regulatory changes

What Makes You a Great Fit

We're looking for someone who:

• Has 2+ years of experience in Medicaid billing or medical claims processing
• Possesses a strong understanding of Medicaid rules and procedures
• Is highly organized and skilled at managing multiple deadlines
• Communicates clearly and professionally with both internal and external partners
• Is proficient in Microsoft Excel, billing software, and EHR systems (PointClickCare experience is a plus)
• Demonstrates strong problem-solving skills and exceptional attention to detail
• Can work independently while contributing to a collaborative team environment

Benefits (Full-Time)

• Comprehensive Benefits: Health, Dental, and Vision Insurance
• Extra Protection: AD&D, Short-Term Disability, Cancer, Critical Illness, and more
• Life Insurance: Whole and Term Policies
• Professional Growth: Tuition Reimbursement for continued education
• Time to Recharge: Paid Time Off
• Retirement Planning: Immediate 401(k) eligibility
• Unwavering Support: Exceptional corporate resources

Equal Opportunity Employer

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran