Medicaid Specialist

Place 2B Properties; Bedford (NH); On-site; USD 52,000 - 72,000; Full time

Benefits offered by this job

Full-Time

Paid Time Off

Life Insurance

Cancer Care Insurance

Accident Care Insurance

Critical Illness Insurance

Job summary

Allied Caregivers is seeking an organized Medicaid Specialist to manage Medicaid administration, medical billing, EVV, and compliance within a caregiving agency. The role requires accuracy and independence in handling time-sensitive tasks, reviewing records for accuracy, and maintaining confidential information.

The ideal candidate has experience with medical billing, Medicaid billing, EVV systems, and healthcare documentation, with a detail-oriented approach and strong organizational skills to

Qualifications

• Experience with medical billing and claims processing is required.
• Experience with Medicaid billing and healthcare claims.
• Experience with EVV systems and shift verification.
• Experience in home care, healthcare administration, medical billing, Medicaid, or a related field.
• Familiarity with audits, licensing, regulatory compliance, and healthcare documentation.
• Attention to detail and organizational skills.
• Comfortable using computers and administrative systems.
• Ability to review information, identify discrepancies, and resolve issues independently.
• Clear communication and consistent follow-through.
• Ability to handle confidential information appropriately.

Responsibilities

• Manage day-to-day Medicaid administrative processes and requirements
• Perform medical billing and claims processing, including reviewing rejected claims, discrepancies, missing information, and documentation issues
• Monitor Electronic Visit Verification (EVV) and address missed punches, exceptions, and shift discrepancies
• Coordinate verified hours and documentation with payroll
• Maintain accurate Medicaid, client, caregiver, and billing records
• Monitor licensing, regulatory, and compliance requirements, including renewals and required documentation
• Assist with internal and external audits by gathering records, reviewing documentation, and responding to requests
• Identify and address compliance or administrative issues
• Maintain confidentiality of client, caregiver, payroll, and agency information

Skills

Medical billing

Claims processing

EVV systems

Healthcare administration

Audits & compliance

Attention to detail

Confidential information handling

Independent work

Job description

Medicaid Specialist - Full Time

Allied Caregivers is seeking an organized and detail-oriented Medicaid Specialist to manage Medicaid, medical billing, EVV, compliance, and administrative functions within our caregiving agency.

The ideal candidate has experience with medical billing and claims, EVV systems, healthcare documentation, and confidential information. This position involves managing time-sensitive tasks, reviewing records for accuracy, and working independently to address issues as they arise.

Key Responsibilities

• Manage day-to-day Medicaid administrative processes and requirements
• Perform medical billing and claims processing, including reviewing rejected claims, discrepancies, missing information, and documentation issues
• Monitor Electronic Visit Verification (EVV) and address missed punches, exceptions, and shift discrepancies
• Coordinate verified hours and documentation with payroll
• Maintain accurate Medicaid, client, caregiver, and billing records
• Monitor licensing, regulatory, and compliance requirements, including renewals and required documentation
• Assist with internal and external audits by gathering records, reviewing documentation, and responding to requests
• Identify and address compliance or administrative issues
• Maintain confidentiality of client, caregiver, payroll, and agency information

Qualifications

• Experience with medical billing and claims processing is required
• Experience with Medicaid billing and healthcare claims
• Experience with EVV systems and shift verification
• Experience in home care, healthcare administration, medical billing, Medicaid, or a related field
• Familiarity with audits, licensing, regulatory compliance, and healthcare documentation
• Attention to detail and organizational skills
• Comfortable using computers and administrative systems
• Ability to review information, identify discrepancies, and resolve issues independently
• Clear communication and consistent follow-through
• Ability to handle confidential information appropriately

The Right Person for This Role

This position is suited for someone who is comfortable managing responsibilities from start to finish, reviewing information carefully, identifying what needs attention, and following through with minimal supervision.

Because this role involves billing, payroll, compliance, and confidential information, accuracy, reliability, and discretion are important.

Compensation & Benefits

• Full-Time
• Paid Time Off
• Life Insurance
• Cancer Care Insurance
• Accident Care Insurance
• Critical Illness Insurance

Allied Caregivers does not currently offer traditional employer-sponsored health insurance.