Medical Billing Specialist
The Billing Specialist is responsible for ensuring accurate and timely submission of
billing and claims in compliance with the state regulations. This role plays a critical part
in maximizing reimbursement, minimizing denials, and maintaining compliance with
Medicaid billing requirements.
Key Responsibilities
Prepare, review, and submit Medicaid claims accurately and in a timely manner
Verify patient Medicaid eligibility and coverage prior to billing
Ensure services are billed in compliance with Medicaid, state, and federal
regulations
Monitor claim status, identify denials, and resolve rejections or
underpayments/overpayments
Research and correct billing errors, including coding, documentation, and
authorization issues
Post payments, adjustments, and denials accurately into billing systems
Follow up on unpaid or underpaid claims to ensure reimbursement
Maintain up-to-date knowledge of Medicaid billing rules, coding changes, and
policy updates
Communicate with Medicaid representatives, providers, and internal staff
regarding claim issues
Maintain accurate billing records and documentation for audits and compliance
reviews
Assist with internal audits and quality assurance related to billing
Support month-end and reporting processes as needed
Required Qualifications
Associate’s degree in finance or accounting preferred
2+ years of experience in billing or revenue cycle management
Working knowledge of billing guidelines and claim submission processes
Exceptional attention to detail and accuracy
Ability to manage multiple priorities and meet deadlines
Skills & Competencies
Analytical and problem-solving skills
Strong written and verbal communication skills
Ability to work independently and as part of a team
Organizational and time management skills
Commitment to confidentiality and compliance
Public Health, Non-profit Organizations, and Hospitals and Health Care
Accounting/Auditing and Administrative
Full-time