Medicaid & Insurance Billing Specialist

ACCESS Group Inc.; Little Rock (AR); On-site; USD 24,796 - 33,062; Full time

Job summary

ACCESS Group Inc. is seeking a Financial Clerk responsible for submitting insurance and Medicaid claims, generating client invoices, and maintaining payer sources.

You will verify insurance for admissions, handle prior authorizations, and manage billing in the system to ensure accurate statements. The role requires attention to detail, strong communication, and the ability to work with multiple payors and denials.

Qualifications

• Minimum of high school diploma or equivalent.
• Minimum of one year of successful experience in a similar position.
• Knowledge of and experience in medical billing preferred.
• Ability to communicate effectively and professionally with a wide variety of people.

Responsibilities

• Verifies private insurance and Medicaid for admissions to provide payment estimates.
• Completes prior authorization requests for private insurance clients and maintains them.
• Uses verifications to set up payor sources in billing system and updates client info.
• Submits Medicaid bulk eligibility requests and monitors status; places billing on hold as needed.
• Processes medical records requests from insurance companies.
• Works partial payments and denials in both systems; coordinates with CSC on therapy prior authorizations.
• Prints, reviews, and mails monthly statements and discusses large balances with supervisor.
• Maintains billing paperwork, including EOBs and RA.

Skills

Medical billing

Communication skills

Detail oriented

Customer service

Multitasking

Education

High school diploma

Tools

Billing software

Job description

ACCESS Group Inc. is seeking a Financial Clerk responsible for submitting insurance and Medicaid claims, generating client invoices, and maintaining payer sources.

You will verify insurance for admissions, handle prior authorizations, and manage billing in the system to ensure accurate statements. The role requires attention to detail, strong communication, and the ability to work with multiple payors and denials.