Medicaid Billing & Admin Coordinator I

State of South Carolina; South Carolina; On-site; USD 32,000 - 42,000; Full time

Benefits offered by this job

Health, dental, vision insurance

Long-term disability & life insurance

15 days vacation (annual)

15 days sick leave (annual)

13 paid holidays

Paid parental leave

Deferred compensation program

Job summary

The SC Department of Behavioral Health and Developmental Disabilities (BHDD) is seeking an Administrative Coordinator I to support billing operations for Nursing Home CM Tucker Roddey and ICF facilities, ensuring accurate Medicaid billing and data reconciliation across multiple systems to help meet monthly revenue and operational goals.

Ideal candidates will have Medicaid billing experience, strong attention to detail, and the ability to coordinate across departments while navigating complex

Qualifications

• Experience in Medicaid billing, ideally in long-term care or nursing facilities.
• Proficient in navigating multi-system billing software and DHHS documentation.
• Strong auditing and attention to detail to identify billing discrepancies.
• Effective communication to coordinate with internal teams.
• Ability to stand, walk, reach, lift up to 20 lbs.

Responsibilities

• Reconciliation: Track client census data and ensure accurate coding of present/absent days.
• TAD Management: Audit Medicaid Turn Around Documents and reflect active clients.
• Roster Monitoring: Track daily admissions and discharges.
• Claims Processing: Submit and track primary, secondary, and tertiary Medicaid claims.
• System Management: Navigate EMR, Clearing House and Insurance portals with minimal errors.
• Collaboration: Work with team to meet monthly financial and operational goals.
• Reconcile Medicaid Turn Around Document from different regions.
• Complete reviews to ensure no errors.
• Understand and correct DHHS Form 181 when needed.
• Use multiple systems to analyze financial data and reports.
• Knowledge of SCEIS to approve or key vouchers.
• Process billing for all claim levels and perform claim review for payment.
• Process insurance payments via the correct portals.
• Check client eligibility for benefits at the facility.
• W ork on other revenue cycle projects as needed.

Skills

Medicaid billing experience

Billing software navigation

Attention to detail

Coordination/communication

Office equipment & physical ability

Education

High School Diploma or GED

Bachelor's degree substitution allowed

Tools

Multi-system billing software

Job description

The SC Department of Behavioral Health and Developmental Disabilities (BHDD) is seeking an Administrative Coordinator I to support billing operations for Nursing Home CM Tucker Roddey and ICF facilities, ensuring accurate Medicaid billing and data reconciliation across multiple systems to help meet monthly revenue and operational goals.

Ideal candidates will have Medicaid billing experience, strong attention to detail, and the ability to coordinate across departments while navigating complex