DDS Medicaid Billing Specialist

Community Care Network / Rutland Mental Health Services; Rutland (VT); On-site; USD 63,039,000 - 70,202,000; Full time

Benefits offered by this job

Competitive Pay

401(k) and 401(k) matching

Dental insurance

Health insurance

Paid time off

Professional development assistance

Tuition reimbursement

Vision insurance

Flexible schedule

Job summary

Community Care Network in Rutland, Vermont is seeking a Developmental Disabilities Services Billing Clerk to manage DDS Medicaid billing within the Accounts Receivable team and provide backup for Certified Community Behavioral Health Clinic (CCBHC) billing.

The role requires accurate coding, knowledge of Medicaid regulations, and strong collaboration with staff and payers to ensure timely reimbursement and compliance.

Qualifications

• Higher education coursework or a degree in medical billing, coding, or a related field is preferred, or High school degree or equivalent with 2+ years of experience in medical coding.
• Proven attention to detail and excellent communication skills, with the ability to work collaboratively across departments.
• Strong understanding of medical coding principles (e.g., CPT, ICD-10) and medical billing practices, with specific knowledge of payer requirements for VT Medicaid.
• Must have a valid driver’s license, reliable transportation, and personal automobile liability insurance coverage at or above the levels mandated by the State of Vermont.
• Successful completion of a criminal history background check after hire.
• Computer literacy including Microsoft 365 (Word, Excel, Outlook). Experience with electronic medical records (EMR) and billing software is highly preferred.
• Computer literacy including Microsoft 365 (Word, Excel, Outlook)

Responsibilities

• Submit DDS claims to Vermont Medicaid accurately and in a timely manner.
• Research, resolve, and appeal billing denials; process and post DDS Vermont Medicaid 835 remittance files.
• Generate and manage weekly accounts receivable aging reports to support timely reimbursement and follow‑up activities.
• Perform routine setup and maintenance of guarantors and client billing accounts.
• Communicate professionally with clients, staff, and third‑party payers regarding billing, coding, and reimbursement inquiries.
• Maintain up‑to‑date knowledge of agency policies, CCBHC Medicaid requirements, DDS billing regulations, coding standards, and reimbursement guidelines.
• Demonstrate a strong understanding of the electronic medical record (EMR) billing matrix to ensure accurate coding and assess the impact of system entries on billing outcomes.
• Assist with other Accounts Receivable, Access, and Triage functions as assigned, including collecting and processing financial information, assessing clients' ability to pay, and managing fee collection activities.

Skills

Attention to detail

Communication skills

Team collaboration

Medical coding knowledge

EMR billing knowledge

Education

Medical billing / coding education

Tools

EMR software

Billing software

Microsoft 365

Job description

Community Care Network in Rutland, Vermont is seeking a Developmental Disabilities Services Billing Clerk to manage DDS Medicaid billing within the Accounts Receivable team and provide backup for Certified Community Behavioral Health Clinic (CCBHC) billing.

The role requires accurate coding, knowledge of Medicaid regulations, and strong collaboration with staff and payers to ensure timely reimbursement and compliance.