Colorado Medicaid Billing & Authorization Specialist

2nd Home Skilled Care Services LLC; Aurora (CO); On-site; USD 55,000 - 65,000; Full time

Job summary

2nd Home Skilled Care Services LLC in Aurora, CO is seeking a Medicaid Billing Specialist to manage claims, authorizations, and related documentation. You will verify eligibility, monitor authorizations, and coordinate with clinical and administrative teams to ensure accurate billing and regulatory compliance.

The role requires experience with Medicaid billing, EVV systems, and CHAP readiness, with a focus on accuracy, timeliness, and cross-department collaboration in a fast-paced home health

Qualifications

• Experience in Medicaid billing and healthcare administration.
• Knowledge of insurance eligibility verification, claims processing and authorizations.
• Strong organizational skills and excellent attention to detail.
• Proficiency with Microsoft Office, especially Excel.
• Ability to manage multiple responsibilities and meet deadlines.
• Excellent written and verbal communication across departments.
• Colorado Medicaid familiarity is preferred.

Responsibilities

• Prepare, review, and submit Medicaid claims accurately and on time.
• Monitor payments, denials, rejections, and balances.
• Investigate and resolve billing discrepancies and claim issues.
• Reconcile payments and maintain billing records.
• Ensure compliance with Medicaid requirements and authorizations.
• Follow up on unpaid claims and coordination with teams.
• Verify eligibility, authorizations, and EVV records.
• Maintain CHAP survey readiness documentation and records.

Skills

Medicaid billing

Healthcare administration

Insurance eligibility verification

Prior authorizations

Attention to detail

Multitasking

Communication skills

Tools

Excel

Axxess

Sandata

SimiTree

EVV systems

Monday.com

Job description

2nd Home Skilled Care Services LLC in Aurora, CO is seeking a Medicaid Billing Specialist to manage claims, authorizations, and related documentation. You will verify eligibility, monitor authorizations, and coordinate with clinical and administrative teams to ensure accurate billing and regulatory compliance.

The role requires experience with Medicaid billing, EVV systems, and CHAP readiness, with a focus on accuracy, timeliness, and cross-department collaboration in a fast-paced home health