Medicaid Billing Specialist - Public Health Finance

Skagit County; Mount Vernon (WA); On-site; USD 41,000 - 44,000; Full time

Job summary

Skagit County is seeking an Accounting Technician II – Medicaid Billing Specialist to support Public Health and the Community Justice Center in Mount Vernon, WA. The role focuses on medical billing, Medicaid claims processing, and reconciliation, ensuring compliance with federal, state, and county requirements.

The position offers pathway to Accounting Tech III with experience, and will require auditing records, verifying benefits, and coordinating with providers and insurers to optimize

Qualifications

• Experience with Medicaid billing and reimbursement processes.
• Familiarity with HIPAA and healthcare compliance.
• Strong understanding of ICD-10 and CPT coding basics.
• Proficiency in Excel and financial software.

Responsibilities

• Develop and implement medical billing processes for jail services.
• Review records to identify billable Medicaid services and submit claims.
• Correct and process claims for all payer codes.
• Verify benefits and follow up on unpaid claims.
• Reconcile reimbursements and audit bills and records.
• Prepare management reports on the 1115 waiver program.

Skills

Governmental accounting

Accounts payable

Accounts receivable

Reconciliation

Medicaid billing

Medical billing

Tools

Excel

Financial systems

EHR systems

Job description

Skagit County is seeking an Accounting Technician II – Medicaid Billing Specialist to support Public Health and the Community Justice Center in Mount Vernon, WA. The role focuses on medical billing, Medicaid claims processing, and reconciliation, ensuring compliance with federal, state, and county requirements.

The position offers pathway to Accounting Tech III with experience, and will require auditing records, verifying benefits, and coordinating with providers and insurers to optimize