Medicaid Billing Specialist

Medicaid/Medicare Srvs Specialist III Advertisement Closes: 9/7/2026 (11:59 PM ET) Job Requisition ID: 2604542 Pay Grade: 15 Salary: $47,531.28 - $71,298.00 Annually Employment Type: EXECUTIVE BRANCH | FULL TIME | ELIGIBLE FOR OVERTIME PAY | 18A | 37.5 HR/WK Hiring Agency Cabinet for Health & Family Services | Department for Medicaid Services Location 275 E Main Street Frankfort, KY 40621 USA Description The agency may authorize the selected candidate to telecommute as a Hybrid. The agency may terminate or modifythe telecommuting arrangements at any time. The Department for Medicaid Services (DMS) provides health care access for eligible low-income residents ofKentucky including children, families, pregnant women, the aged and the disabled as well as a number ofprograms and services directed at specific eligibility and medical needs. DMS strives each day to meet themission of the Cabinet for Health and Family Services to be a diverse and inclusive organization providingprograms, services and supports that protect and promote the health and well-being of all Kentuckians andtheir communities. The Department for Medicaid Services, Division of Fiscal Management is responsible for maintainingaccountability for the use of federal and state resources in a way that assures access to appropriate,medically necessary, quality health care for all participants of the Medicaid program. We are seeking a motivated Medicaid/Medicare Services Specialist III to provide professional support to theDivision of Fiscal Management. To be successful in this division, candidates should be professional, politeand able to deal with difficult and stressful situations. Learn more about us at: Responsibilities and Duties Performs financial and policy analysis for all aspects of the Department for Medicaid Services (DMS) Federal and State budget. Prepares projection of expenditures and revenues to inform leadership of the federal spending rate and availability of state matching funds. Administers federal grant funding requests and reporting, oversees fund-matching and federal reporting. Prepares federal amendment request to make changes to the grant agreement based on budget analysis. Submits federal reports to the federal agencies according to reporting requirements. Defines and analyzes Federal Matching Percentages (FMAP) and assist in preparing, implementing, analyzing, evaluating and monitoring of the state and federal budget; participates and assist in all biennium budget activities, project the federal, general and restricted funds needed; reviews and recommends budget revision requests. Provides comprehensive analysis of financial policy and budget issues and make recommendations to management regarding cash flow and funding as it relates to the department's cash funds that support the restricted funds budget. Determines if programs are utilizing resources in an effective manner. Continuously monitors and analyzes spending to ensure compliance with federal and state guidelines. Analyzes enacted and proposed legislation, state and federal regulations, and grant requirements to ensure accuracy of fiscal impacts developed. Determines compatibility of proposed activities with federal and state guidelines and ensure all federal grant requirements are met as required. Works with providers and partners to develop fiscal impacts of policy changes. Represents agency and meet with state and federal entities, discuss budget issues by researching, analyzing and preparing responses to audits, questionnaires and data request. Attends meetings and develops close working relationships with federal and state officials. Preferred Knowledge/Skills/Abilities The selected candidate should be comfortable using Microsoft Office products with an emphasis on Excel, have excellent written and verbal communication skills and have the drive to meet the needs of those we serve. Experience working in the Medicaid Management Information System (MMIS) or EMARS Demonstrate the ability to handle multiple projects. E-Verify Information The Cabinet for Health and Family Services (CHFS) participates in E-Verify and will provide the federalgovernment with your Form I-9 information to confirm that you are authorized to work in U.S. CHFS will onlyuse E-Verify once you have accepted a job offer and completed the Form I-9. For more information on E-Verify,or if you believe that CHFS has violated its E-Verify responsibilities, please contact Department of HomelandSecurity (DHS) at View phone number on click.appcast.io or Minimum Requirements EDUCATION: Graduate of a college or university with a bachelor's degree. EXPERIENCE, TRAINING, OR SKILLS: Four years of experience in Medicaid or Medicare program administration, health insurance administration/systems, eligibility systems, health care research, health care planning, health care financial management, health care policy development, human service or health care administration, insurance billing and/or claims, or research, review, and analysis of legislation or regulations. Substitute EDUCATION for EXPERIENCE: NONE Substitute EXPERIENCE for EDUCATION: Experience in the above areas will substitute for the required college on a year-for-year basis. Current or prior military experience will substitute for the required college on a year-for year basis. SPECIAL REQUIREMENTS (AGE, LICENSURE, REGULATION, ETC.): NONE Working Conditions Incumbents working in this job title primarily perform duties in an office setting. Probationary Period This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111. Contact Information If you have questions about this advertisement, please contact Becky Tubbs at View email address on click.appcast.io or View phone number on click.appcast.io. An Equal Opportunity Employer M/F/D #J-18808-Ljbffr