Medicaid Billing Specialist Jobs

Medicaid Billing Specialist

Pafford EMS

Location:
United States

Category:
Finance

Contract Type:
Not provided

Salary:

Not provided

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Job Description:

Pafford Medical Services is seeking a detail-oriented and experienced Medicaid Billing Specialist / Follow Up Specialist to join our team. This role is crucial in ensuring the timely and accurate processing of Medicaid claims and follow-up activities. The ideal candidate will have a strong background in medical billing, particularly with Medicaid, and be adept at resolving claim issues and discrepancies.

Job Responsibility:

Accurately prepare and submit Medicaid claims for services rendered by Pafford EMS
Ensure all claims are coded correctly and comply with Medicaid regulations and guidelines
Monitor and verify patient eligibility and insurance coverage
Conduct follow-up on outstanding claims and ensure timely resolution of billing issues
Communicate with Medicaid offices, patients, and other relevant parties to resolve claim discrepancies, denials, or rejections
Review and appeal denied claims, providing necessary documentation and information
Maintain accurate and up-to-date records of billing activities, payments, and follow-ups
Generate regular reports on billing status, outstanding claims, and payment trends
Stay informed about changes in Medicaid regulations and billing procedures
Participate in training and development opportunities to enhance knowledge and skills
Recommend and implement process improvements to enhance billing efficiency and accuracy

Requirements:

Minimum of 2-3 years of experience in medical billing, with a focus on Medicaid billing and follow-up
In-depth knowledge of Medicaid regulations, coding (ICD-10, CPT), and billing procedures
Experience with medical billing software and electronic health records (EHR) systems
Strong analytical and problem-solving abilities
Excellent attention to detail and accuracy
Effective communication and interpersonal skills
Ability to work independently and manage multiple tasks
Proficiency in Microsoft Office Suite (Word, Excel)
High School Diploma or GED
Minimum of 2-3 years revenue cycle management experience

Additional Information:

Job Posted:
December 11, 2025

Employment Type:

Fulltime

Work Type:

On-site work

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