Medicaid Billing & Revenue Specialist

Public Partnerships; New York (NY); On-site; USD 29,000 - 42,000; Full time

Job summary

Public Partnerships LLC is seeking a Billing Operations & Claims Management professional in New York to support Medicaid billing for self-directed home care services. You will prepare weekly billing, resubmit corrected claims, and input data into billing databases, ensuring accuracy and timely payments.

The role requires a minimum of 3 years in medical billing, strong Excel skills, and experience with billing and clearinghouse systems.

Qualifications

• Bachelor's degree preferred; can be substituted with 1+ years of related experience.
• 3+ years of experience in medical billing is required.
• Relevant medical billing or coding certification preferred.

Responsibilities

• Prepare and manage weekly billing activities and invoice submissions.
• Prepare and re-submit corrected claims or invoices as needed.
• Bill payers by inputting billing information into databases.
• Appeal denied claims utilizing clearinghouse or payer portal functionality.
• Reconcile billing activities between clearinghouse and host systems.
• Reconcile payments and perform denial research using database queries and spreadsheet analysis.
• Verify and maintain accurate receivable balances across multiple information systems.
• Prepare reports based on Medicaid billing data and revenue.
• Adjust patient bills by reviewing remittance advice and consulting with management.
• Resolve billing discrepancies by conducting research and correcting errors.
• Perform minimal business-to-business collection activity to maintain low and current receivable balances.
• Follow up on delinquent payer remittances and payments.
• Escalate emerging denial trends and determine root cause analyses.

Skills

Medical billing terminology

Billing systems & clearinghouses

Attention to detail

Verbal and written communication

Microsoft Excel

Data entry speed

Education

Bachelor's degree preferred

Job description

Public Partnerships LLC is seeking a Billing Operations & Claims Management professional in New York to support Medicaid billing for self-directed home care services. You will prepare weekly billing, resubmit corrected claims, and input data into billing databases, ensuring accuracy and timely payments.

The role requires a minimum of 3 years in medical billing, strong Excel skills, and experience with billing and clearinghouse systems.