Medicaid Billing & Accounts Receivable Specialist

$20 - $22 per hour

Full-time

Community Connection Programs

Louisiana Medicaid HCBS (PCA Services)
Hybrid (after training) | ⏱ Hourly

Community Connection Programs, Inc. is seeking an experienced Billing & Accounts Receivable Specialist to support Louisiana Medicaid Home and Community Based Services (HCBS) Personal Care Attendant (PCA) programs. This role is responsible for full-cycle Medicaid billing, accounts receivable follow-up, and recovery of outstanding revenue across multiple waiver programs.

This position is ideal for a billing professional who understands Louisiana Medicaid, EVV requirements, and denial resolution—and who is motivated by performance-based growth opportunities.

Pay & Growth Opportunities

Starting pay: $20–22 per hour, based on experience

90-day performance review:
- Eligibility for a hybrid work schedule
- Eligibility for a pay increase to $23–25 per hour , based on performance

Quarterly performance bonuses available based on:
- Improvement in clean claim rates
- Reduction in claim denials and recoupments
- Progress in historical accounts receivable recovery

What You’ll Do

Submit Medicaid and MCO claims for HCBS PCA services using Medisoft

Verify EVV compliance in AxisCare prior to billing

Ensure accurate service codes, modifiers, units, and authorizations

Review remittance advice (RA/EOBs) and post payments accurately

Investigate denials and complete corrections, re-bills, and appeals

Actively follow up on unpaid claims and manage A/R aging

Assist with cleanup and recovery of historical A/R

Identify denial trends and recurring billing errors

Pause billing when EVV, documentation, or authorizations are incomplete

Collaborate with scheduling, EVV, and care management teams

Participate in billing and operations check-ins

Programs You’ll Bill

LT-PCS

CCW, NOW, ROW

Children’s Choice

EPSDT (Fee-for-Service and MCOs)

SIL, Respite, Supports Waiver

Systems You’ll Use

Medisoft (billing/clearinghouse)

AxisCare (EVV)

LaSRS

Gainwell and Medicaid MCO portals

What We’re Looking For

Required Qualifications

Experience billing Louisiana Medicaid (HCBS or PCA preferred)

Experience working denials, re-billing, and appeals

Understanding of EVV and authorization-based billing

Strong attention to detail and organization

Ability to manage multiple programs and payer requirements

Preferred Qualifications

Experience with historical A/R cleanup

Knowledge of Medicaid waiver programs and EPSDT billing

Experience working across multiple billing systems

Why This Role Matters

This position directly impacts agency revenue, compliance, and service continuity. You will play a key role in improving clean claims, reducing recoupments, and strengthening billing processes that support services for individuals and families across Louisiana.

Apply today if you have Louisiana Medicaid billing experience and are ready for a role with growth, accountability, and flexibility.

Apply

Vacancy posted 1 day ago

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