Medicaid Billing & Compliance Specialist (Hybrid)

Our Town Studios Inc; Columbus (OH); Hybrid; USD 50,000 - 55,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid Time Off (PTO)

Paid holidays

401(k)

Company-provided technology

Job summary

Our Town Studios Inc is seeking a Billing & Compliance Coordinator in Columbus, OH. The role focuses on Medicaid waiver billing, DODD compliance, and accurate documentation across services.

You will audit billing, monitor compliance, and collaborate with Program Coordinators to ensure timely, precise submissions. The position supports organizational growth, maintains regulatory standards, and offers a hybrid work model with competitive benefits.

Qualifications

• Experience with DODD billing and Medicaid waiver billing.
• Knowledge of DODD regulations and Medicaid waiver services is preferred but not required.
• Strong attention to detail and organizational skills.
• Excellent analytical and problem-solving abilities.
• Proficiency with Microsoft Office, including Excel.
• Ability to manage multiple priorities while meeting deadlines.
• Strong written and verbal communication skills.
• Valid Ohio driver’s license with acceptable driving record.

Responsibilities

• Process and audit Medicaid waiver billing for accuracy and completeness.
• Monitor billing trends and identify discrepancies before claims are submitted.
• Review documentation to ensure services meet DODD, Medicaid, and agency requirements.
• Conduct routine compliance audits of service documentation, billing records, and employee files.
• Assist with preparing for county, state, and internal audits.
• Monitor authorizations and ensure services are billed appropriately.
• Work closely with Program Coordinators to resolve documentation and billing issues.
• Track compliance deadlines, certifications, and required documentation.
• Maintain accurate billing and compliance records.
• Assist with developing and updating agency policies, procedures, and compliance tools.
• Identify opportunities to improve billing efficiency and operational processes.
• Support leadership with reports, data analysis, and quality improvement initiatives.
• Perform other administrative and compliance-related duties as assigned.

Skills

DODD billing

Medicaid waiver billing

Attention to detail

Analytical skills

Microsoft Excel

Oral & written communication

Tools

Microsoft Office

Job description

Our Town Studios Inc is seeking a Billing & Compliance Coordinator in Columbus, OH. The role focuses on Medicaid waiver billing, DODD compliance, and accurate documentation across services.

You will audit billing, monitor compliance, and collaborate with Program Coordinators to ensure timely, precise submissions. The position supports organizational growth, maintains regulatory standards, and offers a hybrid work model with competitive benefits.