Medicaid Claims & Billing Specialist

Memorial Health; Springfield (IL); On-site; USD 25,000 - 39,000; Full time

Benefits offered by this job

401(k) match

Health/dental/vision insurance

Paid time off

Job summary

Memorial Health is seeking healthcare billing professionals to analyze, investigate, and resolve Medicaid claims errors for both inpatient and outpatient services. The role emphasizes compliance with Medicaid guidelines and MMC standards, with opportunities to collaborate across teams and with external parties.

The ideal candidate will have 2+ years in healthcare billing, familiarity with Medicaid billing and systems, and strong communication skills.

Qualifications

• High school diploma or GED required.
• Two or more years of insurance or health care billing experience.
• Experience with Medicaid billing and the listed software (IDPA, SMS, NEBO) preferred.

Responsibilities

• Analyzes, investigates, and resolves claims/billing information and/or errors for inpatient and outpatient Medicaid claims.
• Ensures compliance with Medicaid guidelines and MMC policies.
• Demonstrates communication, problem solving, and teamwork to support internal and external customers.

Skills

Microsoft Word

Microsoft Excel

Multitasking

Communication

Problem solving

Medical terminology

CPT coding

ICD-9 CM

UB-04

Customer service

Education

High School/GED

Tools

IDPA payment system

SMS

NEBO

Job description

Memorial Health is seeking healthcare billing professionals to analyze, investigate, and resolve Medicaid claims errors for both inpatient and outpatient services. The role emphasizes compliance with Medicaid guidelines and MMC standards, with opportunities to collaborate across teams and with external parties.

The ideal candidate will have 2+ years in healthcare billing, familiarity with Medicaid billing and systems, and strong communication skills.