Medicaid Billing & AR Specialist

American RENOLIT Corporation; Mishawaka (IN); Sur place; USD 42 000 - 66 000; Plein temps

Résumé du poste

American RENOLIT Corporation seeks a Medicaid Billing Specialist in Mishawaka, IN to ensure accurate and timely processing of Medicaid claims and related accounts receivable activities. You will verify eligibility, submit claims, handle denials, and support audits to maintain regulatory compliance.

Required: at least three years of Medicaid billing experience, familiarity with hospice billing preferred, and proficiency with EHR and billing software.

Qualifications

• Postsecondary coursework in Medical Billing, Coding, Health Information Management or related field.

Responsabilités

• Process Medicaid Hospice and Room & Board claims within deadlines.
• Process Medicaid authorizations with completed paperwork.
• Review claims for accuracy and Medicaid compliance before submission.
• Research and follow up on denied or unpaid Medicaid claims.
• Monitor accounts receivable and follow up on balances.
• Communicate with Medicaid representatives, MCOs, providers, and facilities.
• Assist audits and reimbursement reviews.
• Verify Medicaid eligibility and enrollment.
• Verify benefits and payer requirements for managed care plans.
• Collaborate with referral and admissions staff to determine eligibility.

Connaissances

Medicaid billing

Reimbursement

Documentation accuracy

Communication

Time management

Formation

Postsecondary coursework in Medical Billing, Coding, Health Information Management

Description du poste

American RENOLIT Corporation seeks a Medicaid Billing Specialist in Mishawaka, IN to ensure accurate and timely processing of Medicaid claims and related accounts receivable activities. You will verify eligibility, submit claims, handle denials, and support audits to maintain regulatory compliance.

Required: at least three years of Medicaid billing experience, familiarity with hospice billing preferred, and proficiency with EHR and billing software.