What are the responsibilities and job description for the Medicaid / MCO Billing Specialist position at Creative Solutions In HealthCare?
Join Our Team as a Medicaid Billing Specialist
Ensure Accuracy. Support Compliance. Make an Impact.
We are seeking a detail-oriented and dependable Medicaid Billing Specialist to join our growing team! This position plays a vital role in managing Medicaid billing operations to ensure timely, accurate, and compliant reimbursement for patient services. Success in this role requires strong attention to detail, a solid understanding of Medicaid processes, and the ability to work in a fast-paced, team-oriented environment.
Your Impact as a Medicaid Billing Specialist
In this role, you will:
Prepare, review, and submit Medicaid claims for reimbursement in a timely and accurate manner
Research and resolve billing discrepancies, denials, and payment issues
Verify patient coverage and eligibility through Medicaid and other payer portals
Ensure compliance with all Medicaid guidelines, regulations, and billing codes
Communicate with facilities, insurance providers, and internal departments to gather missing documentation and clarify information
Monitor and track aging reports, following up on outstanding claims
Process adjustments and corrections as needed to maintain account accuracy
Maintain detailed and organized records of all billing activity
Assist with audits, reporting, and data analysis related to Medicaid billing performance
Stay current with Medicaid billing updates and regulatory changes
What Makes You a Great Fit
We’re looking for someone who:
Has 2 years of experience in Medicaid billing or medical claims processing
Possesses a strong understanding of Medicaid rules and procedures
Is highly organized and skilled at managing multiple deadlines
Communicates clearly and professionally with both internal and external partners
Is proficient in Microsoft Excel, billing software, and EHR systems (PointClickCare experience is a plus)
Demonstrates strong problem-solving skills and exceptional attention to detail
Can work independently while contributing to a collaborative team environment
Benefits (Full-Time)
Comprehensive Benefits: Health, Dental, and Vision Insurance
Extra Protection: AD&D, Short-Term Disability, Cancer, Critical Illness, and more
Life Insurance: Whole and Term Policies
Professional Growth: Tuition Reimbursement for continued education
Time to Recharge: Paid Time Off
Retirement Planning: Immediate 401(k) eligibility
Unwavering Support: Exceptional corporate resources
Equal Opportunity Employer
We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran
Ensure Accuracy. Support Compliance. Make an Impact.
We are seeking a detail-oriented and dependable Medicaid Billing Specialist to join our growing team! This position plays a vital role in managing Medicaid billing operations to ensure timely, accurate, and compliant reimbursement for patient services. Success in this role requires strong attention to detail, a solid understanding of Medicaid processes, and the ability to work in a fast-paced, team-oriented environment.
Your Impact as a Medicaid Billing Specialist
In this role, you will:
Prepare, review, and submit Medicaid claims for reimbursement in a timely and accurate manner
Research and resolve billing discrepancies, denials, and payment issues
Verify patient coverage and eligibility through Medicaid and other payer portals
Ensure compliance with all Medicaid guidelines, regulations, and billing codes
Communicate with facilities, insurance providers, and internal departments to gather missing documentation and clarify information
Monitor and track aging reports, following up on outstanding claims
Process adjustments and corrections as needed to maintain account accuracy
Maintain detailed and organized records of all billing activity
Assist with audits, reporting, and data analysis related to Medicaid billing performance
Stay current with Medicaid billing updates and regulatory changes
What Makes You a Great Fit
We’re looking for someone who:
Has 2 years of experience in Medicaid billing or medical claims processing
Possesses a strong understanding of Medicaid rules and procedures
Is highly organized and skilled at managing multiple deadlines
Communicates clearly and professionally with both internal and external partners
Is proficient in Microsoft Excel, billing software, and EHR systems (PointClickCare experience is a plus)
Demonstrates strong problem-solving skills and exceptional attention to detail
Can work independently while contributing to a collaborative team environment
Benefits (Full-Time)
Comprehensive Benefits: Health, Dental, and Vision Insurance
Extra Protection: AD&D, Short-Term Disability, Cancer, Critical Illness, and more
Life Insurance: Whole and Term Policies
Professional Growth: Tuition Reimbursement for continued education
Time to Recharge: Paid Time Off
Retirement Planning: Immediate 401(k) eligibility
Unwavering Support: Exceptional corporate resources
Equal Opportunity Employer
We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran