Medical Billing Specialist

• Process and verify Medicaid billing records and transactions with accuracy
• Monitor payments, denials, and outstanding balances to ensure timely reconciliation
• Investigate and resolve issues related to unpaid claims and payment discrepancies
• Maintain comprehensive documentation and case files in compliance with Medicaid regulations
• Prepare detailed financial reports for management and audits as required
• Collaborate with case managers, healthcare providers, and state Medicaid offices to address billing inquiries
• Stay informed on updates to Medicaid policies and ensure billing practices align with current regulations
• Support audit processes by providing necessary records and responding to inquiries efficiently

• High school diploma or equivalent required
• an associate degree in a related field is preferred
• Minimum of one year of experience in medical billing, insurance claims, or accounts receivable, ideally within a Medicaid environment
• Strong knowledge of Medicaid billing procedures, regulations, and coding standards
• Proficiency in using medical billing software and Microsoft Office applications
• Exceptional organizational skills with keen attention to detail
• Ability to handle sensitive and confidential information professionally
• Effective communication skills, both written and verbal

Familiarity with systems such as Epaces is an advantage

• medical, vision, dental, and life and disability insurance
• eligible to enroll in our company 401(k) plan