Medicaid Biller

CommuniCare Health; Indianapolis (IN); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Competitive wages

Paid Time Off (PTO)

401K with employer match

Medical, dental, and vision coverage

Life Insurance and Disability Plans

Job summary

A leading healthcare provider is seeking a Medicaid Biller for its Central Billing Office in Indianapolis, IN. The role includes managing billing activities, ensuring claims submission, and maintaining thorough documentation. The ideal candidate must possess a high school diploma, experience in healthcare settings, and a strong knowledge of billing practices. Traits such as attention to detail and effective communication are essential for success in this full-time position, offering competitive pay and benefits.

Qualifications

• Prior experience in a long term care setting is preferred.
• Experience in healthcare billing is advantageous.
• Must have strong attention to detail and independent decision-making ability.
• Strong written and verbal communication skills.

Responsibilities

• Handle Traditional Medicaid and Pathways billing.
• Follow up on unpaid claims.
• Prepare Weekly/Monthly Reports as instructed.
• Post payments and verify discount accuracy on insurance payments.
• Prepare adjustments and provide backup documentation to Supervisor.
• Research, resolve, resubmit, and appeal denied claims promptly.
• Prepare appeal letters and collect information for filings.
• Maintain Medicaid bad-debt log and monitor collections.
• Review AR aging and write clear collection notes.
• Prepare Weekly/Monthly Reports for the CBO Team Manager.
• Adhere to policies, ensure compliant operations, and support team duties.

Skills

Knowledge of medical billing/collection practices

Strong mathematical skills

Strong written and verbal communication skills

Detail-oriented

Basic computer literacy

Strong organizational skills

Organizational skills

Education

High School graduate or GED

Tools

Billing software applications

Job description

Medicaid Biller page is loaded## Medicaid Billerlocations: Indianapolis Regional Officetime type: Full timeposted on: Posted 2 Days Agojob requisition id: R-0000113028**Job Address:**8275 Allison Pointe Trail Suite 370Indianapolis, IN 46250**Medicaid Biller***CommuniCare Health Services* is currently recruiting a **Medicaid Biller**for our Central Billing Office located in Indianapolis, IN.**PURPOSE/BELIEF STATEMENT**The position of Medicaid Biller is responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned.**WHAT WE OFFER**All CommuniCare employees enjoy competitive wages and PTO (Paid Time Off) plans. We offer full time employees a menu of benefit options that include:* Life Insurance and Disability Plans* Medical, dental, and vision coverage from quality benefit carriers* 401K with employer match* Flexible Spending Accounts**QUALIFICATIONS/EXPERIENCE REQUIREMENTS*** High School graduate or GED required.* Prior Work/Life experience, preferably in a long term care setting.* Prior work/life experiences, preferably in a healthcare setting.* Prior experience preferably with related software applications.**KNOWLEDGE/SKILLS/ABILITIES*** Knowledge of medical billing/collection practices.* Must be knowledgeable of accounts receivable practices and procedures, as well as laws, regulations and guidelines that pertain to long term care.* Must have a high degree of attention to detail.* Must have the ability to make independent decisions when circumstances warrant such action, sense of urgency.* Strong mathematical, written and verbal communication skills.* Basic computer literacy and skills* Strong organizational skills a must.**JOB DUTIES AND RESPONSIBILITIES*** This position will handle Traditional Medicaid and Pathways billing* Ensure all claims have been submitted and exported correctly according to each payer’s Billing Procedure.* Follow up on unpaid claims within the standard billing cycle time frame.* Post all payments received against the appropriate claim.* Check each insurance payment for accuracy and compliance with contract discount.* Prepare necessary adjustments, enter into billing system, and provide backup documentation to Supervisor.* Research, resolve, resubmit, and/or appeal all denied claims in a timely manner.* Prepare appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany appeal.* Maintain Medicaid bad-debt log by tracking billings, monitoring collections, compiling information* Review and audit A/R aging reports as necessary.* Write thorough collection notes on billing activity with clear and reliable data.* Prepare Weekly/Monthly Reports as instructed by the CBO Team Manager.* Maintain work operations by following policies and procedures, reporting compliance issues.* Maintain quality results by following standards.* Other duties as assignedA family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another.