Medicaid Billing Specialist

Job Description

Job Description

Medicaid Billing Specialist

Location: Charleston, Illinois (on-site)
Reports To: Billing Director

About the Opportunity

The Medicaid Billing Specialist is responsible for accurate and timely Medicaid billing across multiple states. This role requires strong knowledge of Medicaid processes and the ability to manage varying state requirements.

Key Responsibilities

Medicaid Billing

• Prepare and submit Medicaid claims accurately and on time

• Ensure compliance with state-specific Medicaid requirements

• Maintain accurate resident financial records and eligibility information

Eligibility & Documentation

• Verify Medicaid eligibility and coverage details

• Work with facilities to obtain required documentation

• Ensure proper authorizations and documentation are in place

Denials & Follow-Up

• Investigate and resolve denied or rejected Medicaid claims

• Resubmit claims and ensure timely reimbursement

• Work closely with AR team on outstanding balances

Systems

• Utilize PointClickCare (PCC) for billing and tracking

• Maintain accurate and organized billing records

Qualifications

• MUST have SNF Medicaid billing experience

• 3+ years of Medicaid billing experience (multi-state preferred)

• Strong understanding of Medicaid processes and requirements

• Experience with PointClickCare (PCC) required

• Highly detail-oriented with strong follow-up skills