MEDICAID SPECIALIST (1148)

Memorial Home Services; Springfield (IL); On-site; USD 2,527,000 - 3,915,000; Full time

Benefits offered by this job

Paid Time Off (PTO)

Memorial Childcare

Mental Health Services

Growth Opportunities

Continuing Education

401(k)

Life Insurance and Voluntary Benefits

Employee Assistance Program

Adoption Assistance

Job summary

Memorial Health System is seeking a full-time billing professional to analyze, investigate, and resolve Medicaid claims and billing information across inpatient and outpatient settings. The role emphasizes compliance with Medicaid guidelines and organizational standards.

Ideal candidates will have 2+ years in health care billing, familiarity with CPT/ICD-9 coding, and experience with IDPA, SMS, and NEBO. Strong computer and communication skills are needed to coordinate with internal and external

Qualifications

• Education equivalent to graduation from high school or GED is required.
• Two or more years of insurance and/or health care billing experience is required.
• Previous experience with Medicaid billing and software (IDPA payment system, SMS, and NEBO) is highly preferred.
• Basic working knowledge of personal computers and their associate user software is required.
• Experience with Microsoft Office products Word and Excel is preferred.
• Ability to multi-task while working on multiple responsibilities simultaneously.
• Demonstrated ability to work successfully with internal customers and external contacts is required.
• Possesses a highly-developed critical thinking and problem solving ability to work through complex situations.
• Demonstrates excellent oral and written communication, keyboarding, basic math, and problem solving skills.
• Familiarity with medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claim form UB-04 is highly preferred.

Skills

Analytical thinking

Communication skills

Multi-tasking

PC knowledge

Microsoft Word/Excel

Education

High school diploma or GED

Tools

IDPA payment system

SMS

NEBO

Job description

Full time$18.34 - $28.42Position Summary: Analyzes, investigates, and resolves claims/billing information and/or errors associated with inpatient and outpatient Medicaid claims. Ensures compliance with Medicaid guidelines and MMC organizational policies. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values. To review Memorial’s Benefits click here: Benefits – Memorial HRHighlights & BenefitsPaid Time Off (PTO)Memorial ChildcareMental Health ServicesGrowth OpportunitiesContinuing EducationLocal and National DiscountsPet InsuranceMedical, Dental, VisionFlexible Spending Account401(k)Life Insurance and Voluntary BenefitsEmployee Assistance Program and Colleague WellnessAdoption AssistanceRequired ExperienceEducation: Education equivalent to graduation from high school or GED is required. Experience: Two or more years of insurance and/or health care billing experience is required. Previous experience with Medicaid billing and software (IDPA payment system, SMS, and NEBO) is highly preferred. Other Knowledge/Skills/Abilities: – Basic working knowledge of personal computers and their associate user software is required. Experience with Microsoft Office products Word and Excel is preferred. – Ability to multi-task while working on multiple responsibilities simultaneously. – Demonstrated ability to work successfully with internal customers and external contacts is required. – Possesses a highly-developed critical thinking and problem solving-ability to work through complex situations. – Demonstrates excellent oral and written communication, keyboarding, basic math, and problem solving skills. – Familiarity with medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claim form UB-04 is highly preferred.Springfield, IL Move left Move right Move up Move down+ Zoom in- Zoom outHome Jump left by 75%End Jump right by 75%Page Up Jump up by 75%Page Down Jump down by 75%Sorry, we have no imagery here.Sorry, we have no imagery here.Sorry, we have no imagery here.Sorry, we have no imagery here.Sorry, we have no imagery here.Sorry, we have no imagery here.Sorry, we have no imagery here.Sorry, we have no imagery here.Sorry, we have no imagery here.Sorry, we have no imagery here.Sorry, we have no imagery here.Sorry, we have no imagery here.To activate drag with keyboard, press Alt + Enter. Once in keyboard drag state, use the arrow keys to move the marker. To complete the drag, press the Enter key. To cancel, press Escape.Keyboard shortcutsMap Data Map data 2026Map data 2026100 m Click to toggle between metric and imperial unitsTermsReport a map error