Medicaid Billing Specialist - Revenue Cycle Expert

Goodwill NYNJ; New York (NY); On-site; USD 60,000 - 90,000; Full time

Job summary

Goodwill Greater New York and Northern New Jersey (GWNYNJ) is seeking a Medicaid Billing Specialist to ensure timely, accurate Medicaid claims for our human services programs in Downtown Brooklyn.

The ideal candidate has 3+ years of Medicaid billing experience, expertise with Foothold AWARDS, MILLIN, and eMedNY, and deep knowledge of NY Medicaid documentation and denial management, revenue cycle best practices, and audit readiness.

Qualifications

• Associate's or Bachelor's degree in accounting, finance, healthcare administration, business administration or related field preferred.
• Minimum of 3 years Medicaid billing experience in a behavioral health, workforce development, or human services organization.
• Required experience with eMedNY.
• Required experience with Foothold AWARDS.
• Required experience with the MILLIN Medicaid billing system.
• Knowledge of New York Medicaid billing regulations and documentation requirements.

Responsibilities

• Prepare, review, and submit Medicaid claims accurately and timely.
• Utilize Foothold AWARDS to verify service documentation, authorizations, attendance, and billing readiness.
• Process Medicaid claims through the MILLIN and eMedNY billing platforms.
• Review billing reports to identify missing documentation, billing exceptions, and claim errors.
• Research, resolve, and resubmit denied or rejected claims.
• Monitor claim status and payment activity through Medicaid portals and billing systems.
• Reconcile payments received against submitted claims and investigate payment discrepancies.
• Work collaboratively with program staff to ensure documentation meets Medicaid billing standards.
• Monitor authorization balances and ensure services are billed within approved limits.
• Maintain billing logs, aging reports, and accounts receivable tracking.
• Assist with month-end billing close and revenue reconciliation.
• Prepare reports for Finance and Grants & Contracts leadership regarding billing performance, collections, and outstanding claims.
• Stay current on Medicaid billing regulations, provider manual updates, and payer requirements.
• Support internal and external audits by providing requested billing documentation.
• Recommend process improvements to strengthen billing accuracy and maximize reimbursement.

Skills

Excel (Pivot tables, VLOOKUP/XLOOKUP)

Analytical skills

Organizational skills

Communication skills

Education

Associate's or Bachelor's degree (Accounting/Finance/Healthcare Administration)

Tools

Foothold AWARDS

MILLIN Medicaid billing system

eMedNY

Job description

Goodwill Greater New York and Northern New Jersey (GWNYNJ) is seeking a Medicaid Billing Specialist to ensure timely, accurate Medicaid claims for our human services programs in Downtown Brooklyn.

The ideal candidate has 3+ years of Medicaid billing experience, expertise with Foothold AWARDS, MILLIN, and eMedNY, and deep knowledge of NY Medicaid documentation and denial management, revenue cycle best practices, and audit readiness.