Medicaid Billing & Scheduling Administrator

Ultimate Staffing; Aurora (CO); On-site; USD 37,000 - 44,000; Full time

Benefits offered by this job

Medical, dental and vision insurance

401k with company match

Job summary

Ultimate Staffing Services is seeking a Medicaid Billing & Scheduling Administrator in Aurora, CO. The role supports Medicaid billing operations, authorizations, scheduling, and compliant documentation to ensure proper reimbursement.

Responsibilities include submitting claims, verifying eligibility, tracking PARs, and coordinating with teams to resolve issues while maintaining HIPAA compliance and high accuracy.

Qualifications

• 5+ years' experience in Medicaid billing.
• Strong understanding of Medicaid claims processing, eligibility verification, reimbursement procedures, and billing compliance.
• Experience managing prior authorization requests (PARs), tracking units, periods, renewals, and expirations.
• Identify and resolve billing discrepancies, denied claims, and authorization-related issues.

Responsibilities

• Prepare, review, and submit Medicaid claims within deadlines.
• Verify services, authorizations, and documentation for billing accuracy.
• Monitor claim status and coordinate corrections or resubmissions.
• Track Medicaid eligibility, authorizations, and renewal dates.
• Coordinate scheduling to align with approved authorizations and operations.
• Review attendance, service delivery, and billing records for discrepancies.
• Maintain records for billing, authorizations, and compliance.
• Assist with reporting, audits, and process improvements.
• Collaborate with internal teams and external partners on billing and scheduling.
• Ensure Medicaid regulations, HIPAA, and policies are followed.

Skills

Medicaid billing

Scheduling coordination

Authorization management

Billing compliance

Microsoft Excel

HIPAA awareness

Tools

Healthcare billing systems

Job description

Salary: USD27 - USD32 per hour

Position Overview

Ultimate Staffing Services is actively seeking a detail-oriented Medicaid Billing & Scheduling Administrator to join a growing healthcare services organization in Aurora, CO. This role is responsible for supporting Medicaid billing operations, authorization management, scheduling coordination, and documentation compliance to ensure accurate reimbursement and efficient service delivery.

Job Duties

• Prepare, review, and submit Medicaid claims accurately and within established deadlines.
• Verify services, authorizations, and documentation to ensure billing accuracy and compliance.
• Monitor claim status, research billing discrepancies, and coordinate corrections or resubmissions as needed.
• Track Medicaid eligibility, authorizations, approved service units, and renewal dates.
• Coordinate scheduling activities to ensure services align with approved authorizations and operational requirements.
• Review attendance, service delivery, and billing records to identify and resolve discrepancies.
• Maintain accurate records and supporting documentation for billing, authorizations, and compliance purposes.
• Assist with reporting, audits, and process improvement initiatives to support operational efficiency and revenue integrity.
• Collaborate with internal teams and external partners to address billing, scheduling, and authorization-related concerns.
• Ensure compliance with Medicaid regulations, HIPAA requirements, and organizational policies.

Qualifications

• 5+ years' experience in Medicaid billing required.
• Strong understanding of Medicaid claims processing, eligibility verification, reimbursement procedures, and billing compliance requirements.
• Experience managing Prior Authorization Requests (PARs), including tracking approved units, authorization periods, renewals, and expirations.
• Ability to identify and resolve billing discrepancies, denied claims, and authorization-related issues.
• Proficiency with Microsoft Office, particularly Excel, and experience working within healthcare billing systems.
• Highly organized with exceptional attention to detail and the ability to manage multiple priorities.
• Strong written and verbal communication skills.
• Experience with Colorado Medicaid, healthcare scheduling, claims management systems, or electronic health records is preferred.

$55,000-$65,000

Schedule

Monday-Friday 8:00-5:00; In-office*

Medical, dental and vision insurance provided; 401k with company match