Medicaid Billing Specialist – Claims & Collections

CHQ CHSI EMP LLC; Indianapolis (IN); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Life Insurance and Disability Plans

Medical, dental, and vision coverage

401K with employer match

Flexible Spending Accounts

Job summary

CommuniCare Health Services in Indianapolis, IN is seeking a Medicaid Biller for our Central Billing Office. The role handles Traditional Medicaid and Pathways billing, follows up on unpaid claims, posts payments, and ensures accurate payer submissions.

The ideal candidate has a High School diploma or GED, knowledge of medical billing, strong attention to detail, and the ability to work independently. Prior experience in long-term care or healthcare billing is preferred, with familiarity of

Qualifications

• Knowledge of medical billing/collection practices.
• Must be knowledgeable of accounts receivable practices and procedures, as well as laws, regulations and guidelines that pertain to long term care.
• Must have a high degree of attention to detail.
• Must have the ability to make independent decisions when circumstances warrant such action, sense of urgency.

Responsibilities

• This position will handle Traditional Medicaid and Pathways billing.
• Ensure all claims have been submitted and exported correctly according to each payer’s Billing Procedure.
• Follow up on unpaid claims within the standard billing cycle time frame.
• Post all payments received against the appropriate claim.
• Check each insurance payment for accuracy and compliance with contract discount.
• Prepare necessary adjustments, enter into billing system, and provide backup documentation to Supervisor.
• Research, resolve, resubmit, and/or appeal all denied claims in a timely manner.
• Prepare appeal letters to insurance carrier when not in agreement with claim denial.
• Collect necessary information to accompany appeal.
• Maintain Medicaid bad-debt log by tracking billings, monitoring collections, compiling information.
• Review and audit A/R aging reports as necessary.
• Write thorough collection notes on billing activity with clear and reliable data.
• Prepare Weekly/Monthly Reports as instructed by the CBO Team Manager.
• Maintain work operations by following policies and procedures, reporting compliance issues.
• Maintain quality results by following standards.
• Other duties as assigned.

Skills

Medical billing/collections

Attention to detail

Independent decision making

Communication skills

Education

High School diploma or GED

Tools

Billing software applications

Job description

CommuniCare Health Services in Indianapolis, IN is seeking a Medicaid Biller for our Central Billing Office. The role handles Traditional Medicaid and Pathways billing, follows up on unpaid claims, posts payments, and ensures accurate payer submissions.

The ideal candidate has a High School diploma or GED, knowledge of medical billing, strong attention to detail, and the ability to work independently. Prior experience in long-term care or healthcare billing is preferred, with familiarity of