Medicaid / MCO Billing Specialist

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

Created: 2026-03-06