Billing Analyst

StoryPoint Group; Minneapolis (MN); On-site; USD 52,000 - 76,000; Full time

Job summary

StoryPoint Group seeks a Billing Analyst to coordinate Medicaid claims submission and oversee Medicaid revenue across the company. You will manage claims submissions, resubmissions, and reconciliations, while ensuring accuracy of dates, services, and authorization data.

You will collaborate with clinical and operations teams to maximize timely payments, handle MCO renewals, enrollments, and communicate effectively with residents and providers.

Qualifications

• 2+ years of experience in Medicaid billing.
• Strong computer and software skills.
• Familiarity with Medicaid billing procedures and regulations.
• Excellent attention to detail and accuracy.

Responsibilities

• Shared financial oversight of Medicaid billings and collections.
• Recredentialing of MCO renewals.
• Assist with new community enrollments.
• Submit Medicaid claims monthly and investigate outstanding/denied claims.
• Ensure billing accuracy for dates and services rendered.
• Manage MCO payments and aim for 100% claims paid via ACH.
• Maintain digital repository of service authorizations and billing rates.
• Update billing system with changes in daily rates or resident days out of the community.
• Collaborate with the community to ensure timely Medicaid communications.
• Proactively seek new service authorizations to ensure continuous claim submission and payment.
• Work with case managers to obtain authorizations upon expiration.
• Maintain accurate Medicaid resident and billing data spreadsheets.
• Apply Medicaid payments in the billing system.
• Bill residents for spend downs.
• Contact Medicaid providers for information and questions on payments/authorizations.
• Review AR aging reports and resolve denied/unpaid claims.
• Verify and reconcile Medicaid payments received.
• Coordinate with clinical team on service authorizations and care plans.
• Assist communities with migration tracking from private pay to Medicaid or other programs.
• Assist with non-Medicaid AR collections and general accounting.

Skills

Medicaid billing experience

Attention to detail

Independent worker

Team collaboration

Education

Bachelor's degree

Tools

Billing software

Job description

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The Billing Analyst coordinates Medicaid claims submission for the company. Primary responsibilities include financial oversight of Medicaid revenue, contract negotiation, recredentialing, claims submission, monitoring outstanding receivables for both private pay and Medicaid amounts due, and working collaboratively to ensure timely payments are received.

Responsibilities

• Shared financial oversight of Medicaid billings and collections
• Recredentialing of MCO renewals
• Assist with new community enrollments
• Submit Medicaid claims monthly and investigate outstanding/denied claims
• Ensure billing accuracy for dates and services rendered
• Manage MCO payments and work to get 100% of claims paid through ACH vs check
• Maintain digital repository of service authorization and spreadsheets to ensure accurate billing rates
• Update billing system to reflect any change in daily rates
• Update billing system to reflect resident days out of the community
• Collaborate with community to ensure residents receive timely communication if converting to Medicaid
• Proactively look for new service authorizations prior to expiration to ensure continuous claim submission and payment
• Work with case manager to ensure new authorizations are received upon expiration
• Maintain accurate spreadsheets of Medicaid residents, service authorization information, fees, and dates of billing
• Apply Medicaid payments in billing system
• Bill residents for required spend downs
• Contact Medicaid providers to request information, ask questions about payments and service authorizations
• Review Medicaid accounts receivable aging reports and work to resolve any denied or unpaid claims
• Verify and reconcile Medicaid payments received
• Work with clinical team to ensure service authorizations are consistent with care plans and provide discrepancy reporting to clinical and operations team
• Assist communities with monitoring and provide reporting on residents migrating from private pay to Medicaid or other government programs
• Assist with non-Medicaid accounts receivable collections processes
• Assist with general accounting and financial reporting
• Other duties as assigned

Qualifications

• Bachelor's Degree in related field preferred
• 2+ years of experience in Medicaid billing
• Strong computer and software skills
• Familiarity with Medicaid billing procedures and regulations
• Excellent attention to detail and must maintain accuracy
• Ability to work independently with minimal supervision and collaboratively as a team

General Working Conditions

While performing the duties of this job, the employee is required to communicate effectively with others; sit, stand, walk; and use hands to operate a keyboard, telephone, and other equipment. The employee is occasionally required to reach with hands and arms. This position requires the ability to review detailed documents and read computer screens. The employee may occasionally lift and/or move up to 20 pounds. The noise level in the work environment is moderate. Occasional travel may be required.