Billing Specialist

Solaris Healthcare; Orlando (FL); On-site; USD 40,000 - 55,000; Full time

Job summary

A healthcare provider in Orlando is seeking a Billing Specialist responsible for overseeing Medicaid eligibility for clients. The role entails filing applications in compliance with guidelines, assisting in applicants' interviews, and determining their eligibility status. Ideal candidates will have a High School Diploma, 3-5 years of experience with Medicaid applications, and proficiency in Microsoft Office. Strong communication skills and attention to detail are essential for this position.

Qualifications

• High School Diploma or GED required, some college coursework preferred.
• 3-5 years of experience with Medicaid applications for long-term care.
• Proficient in Microsoft Office and related software.

Responsibilities

• File Medicaid applications according to guidelines for new admissions.
• Assist in filing Medicaid applications at designated facilities.
• Interview applicants to determine Medicaid eligibility status.

Skills

Detail orientation

Communication skills

Medicaid application knowledge

Computer literacy

Education

High School Diploma or GED

Tools

Microsoft Office

Excel

Word

Job description

We’re now hiring a Billing Specialist at Solaris. The role oversees Medicaid eligibility for clients seeking financial assistance and ensures compliance with state and federal guidelines. The specialist works closely with Admission Intake and Business Development teams.

Medicaid Specialist Job Summary

The Medicaid Specialist will determine client eligibility for financial assistance through the Medicaid program via interactive interviewing and fact gathering for all out-of-state referrals with either no primary payor or special needs that convert to Medicaid long-term care. The role focuses on referrals originating from outside the state, Medicaid Pending cases, and cases lacking a Business Office Manager.

Major Duties and Responsibilities

• File Medicaid applications for benefits according to state and federal guidelines for all new admissions admitting Medicaid Pending as a primary for all out-of-state primary and/or as a secondary Medicaid pending payors.
• Assist in filing Medicaid applications for admissions admitting Medicaid Pending or anyone transitioning to Medicaid Pending at designated facilities with no available Business Office Manager.
• Interview and discuss Medicaid process with applicants and/or responsible parties to determine eligibility status. This may be done collaboratively with admissions and business office in the facility.
• Review Medicaid checklist with out-of-state applicants and/or responsible parties to determine eligibility or denial. This also applies to any in-state cases assigned in the absence of a business office manager.

Required Education And Experience

• High School Diploma or GED, some college coursework preferred.
• At least 3-5 years of experience compiling documentation and submitting Medicaid applications on behalf of long-term care facilities.
• Must be computer literate and proficient in Microsoft Office, Excel, and Word.
• Knowledge of PCC.
• Strong written, verbal, and interpersonal communication skills.
• Should be very detailed and organized.