Medicaid Billing Specialist

Pafford Emergency Medical Services; Arkansas; On-site; USD 40,000 - 55,000; Full time

Job summary

A healthcare services company in Arkansas is seeking an experienced Medicaid Billing Specialist to ensure accurate processing of Medicaid claims. The ideal candidate will have 2-3 years of medical billing experience, strong knowledge of Medicaid regulations, and proficiency in billing software. This full-time position offers an opportunity to contribute to a team dedicated to billing accuracy and efficiency.

Qualifications

• Minimum of 2-3 years of experience in medical billing, focused on Medicaid.
• In-depth knowledge of Medicaid regulations and coding (ICD-10, CPT).
• Strong analytical and problem-solving abilities.

Responsibilities

• Prepare and submit Medicaid claims accurately.
• Conduct follow-up on outstanding claims.
• Maintain accurate records of billing activities.

Skills

Detail-oriented

Problem-solving abilities

Analytical skills

Communication skills

Interpersonal skills

Education

High School Diploma or GED

Tools

Medical billing software

Electronic health records (EHR) systems

Microsoft Office Suite

Job description

Overview

Job Title: Medicaid Billing Specialist
Work Location: Pafford Medical Services, Inc. – Corporate Office
Division/Department: PMBS
Reports To: Team Lead
Job Type: Full-Time
Employment Status: Nonexempt

Job Description

Pafford Medical Services is seeking a detail-oriented and experienced Medicaid Billing Specialist / Follow Up Specialist to join our team. This role is crucial in ensuring the timely and accurate processing of Medicaid claims and follow-up activities. The ideal candidate will have a strong background in medical billing, particularly with Medicaid, and be adept at resolving claim issues and discrepancies.

Responsibilities

• Medicaid Billing: Accurately prepare and submit Medicaid claims for services rendered by Pafford EMS. Ensure all claims are coded correctly and comply with Medicaid regulations and guidelines. Monitor and verify patient eligibility and insurance coverage.
• Follow-Up and Claim Resolution: Conduct follow-up on outstanding claims and ensure timely resolution of billing issues. Communicate with Medicaid offices, patients, and other relevant parties to resolve claim discrepancies, denials, or rejections. Review and appeal denied claims, providing necessary documentation and information.
• Record Keeping and Reporting: Maintain accurate and up-to-date records of billing activities, payments, and follow-ups. Generate regular reports on billing status, outstanding claims, and payment trends.
• Compliance and Continuous Improvement: Stay informed about changes in Medicaid regulations and billing procedures. Participate in training and development opportunities to enhance knowledge and skills. Recommend and implement process improvements to enhance billing efficiency and accuracy.

Qualifications

• Minimum of 2-3 years of experience in medical billing, with a focus on Medicaid billing and follow-up.
• In-depth knowledge of Medicaid regulations, coding (ICD-10, CPT), and billing procedures.
• Experience with medical billing software and electronic health records (EHR) systems.
• Strong analytical and problem-solving abilities. Excellent attention to detail and accuracy. Effective communication and interpersonal skills. Ability to work independently and manage multiple tasks.
• Proficiency in Microsoft Office Suite (Word, Excel).

Education and Experience Requirements

• High School Diploma or GED
• Minimum of 2-3 years revenue cycle management experience

Physical Requirements

Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards. Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards. The employee may occasionally be required to lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion. Must be able to talk, listen and speak clearly on telephone. Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a motor vehicle.

Travel Time

Negligible

Note

The above statements are intended to describe the general nature and level of work being performed by the person assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills and physical demands required of personnel so classified.