Billing Specialist – Medicaid, VA & Medicare

Position Summary

We are seeking an experienced and detail-oriented Billing Specialist to manage Medicaid, VA, and Medicare billing processes. The Billing Specialist will be responsible for accurate claim submission, payment posting, denial management, and maintaining compliance with federal and state regulations. This position plays a critical role in ensuring timely reimbursement and supporting overall financial operations.

Key Responsibilities

• Prepare, review, and submit Medicaid, VA, and Medicare claims accurately and timely
• Verify client insurance eligibility and authorization requirements
• Monitor claim status and follow up on unpaid or denied claims
• Research and resolve billing discrepancies, denials, and payment issues
• Post payments, adjustments, and maintain accurate billing records
• Communicate with insurance representatives, VA representatives, clients, and internal staff regarding billing matters
• Ensure compliance with Medicaid, Medicare, VA, HIPAA, and company policies
• Maintain up-to-date knowledge of billing regulations, coding requirements, and payer guidelines
• Assist with month-end reporting and accounts receivable management
• Support audits and documentation requests as needed

Qualifications

• Minimum of 2 years of billing experience with Medicaid, VA, and/or Medicare claims
• Knowledge of healthcare billing procedures and reimbursement processes
• Experience with electronic medical records (EMR) and billing software
• Strong understanding of insurance verification and claim follow-up procedures
• Excellent attention to detail and organizational skills
• Strong communication and problem-solving abilities
• Ability to maintain confidentiality and handle sensitive information
• Proficiency in Microsoft Office, especially Excel

Preferred Qualifications

• Experience in home care, healthcare, or senior care billing
• Knowledge of EVV systems and authorization tracking
• Certified Professional Biller (CPB) certification preferred

Work Schedule

• Part-time
• Monday – Friday 4 to 5 hours a day
• Office-based or hybrid options may be available

Benefits

• Competitive pay
• Paid time off
• Health insurance options
• Supportive team environment
• Opportunities for growth and advancement

How to Apply

Please submit your resume and relevant billing experience for consideration.