Medicaid Billing Specialist - Claims & Reimbursement

Center4Hospice; Mishawaka (IN); On-site; USD 52,000 - 70,000; Full time

Job summary

Center4Hospice in Mishawaka, IN seeks a Medicaid Billing Rep/Billing Coordinator to ensure accurate Medicaid billing, AR management, payment posting, eligibility verification, and reimbursement follow-up in support of financial operations and regulatory compliance.

The role requires processing Medicaid claims, authorizations, eligibility verification, and ongoing follow-up on denied or unpaid claims, while maintaining detailed records and communicating with state agencies and providers.

Qualifications

• Requires understanding of Medicaid billing and reimbursement.
• Experience with claims follow-up and denial management preferred.
• Knowledge of hospice billing practices is a plus.

Responsibilities

• Process Medicaid Hospice and Room & Board claims accurately and timely.
• Verify eligibility and benefits for Medicaid Managed Care plans.
• Post Medicaid payments and adjustments accurately.
• Research and follow up on denied or unpaid claims.
• Maintain documentation to support reimbursement and compliance.

Skills

Medicaid billing

Claims processing

Eligibility verification

Accounts receivable

Communication

Documentation

Education

High School Diploma or equivalent

Postsecondary coursework in Medical Billing or Health Information Management

Tools

Billing software

EHR systems

Microsoft Office

Job description

Center4Hospice in Mishawaka, IN seeks a Medicaid Billing Rep/Billing Coordinator to ensure accurate Medicaid billing, AR management, payment posting, eligibility verification, and reimbursement follow-up in support of financial operations and regulatory compliance.

The role requires processing Medicaid claims, authorizations, eligibility verification, and ongoing follow-up on denied or unpaid claims, while maintaining detailed records and communicating with state agencies and providers.