Medicare/Medicaid Billing Specialist

Paycom; Baton Rouge (LA); On-site; USD 42,000 - 62,000; Full time

Job summary

Hospice of Baton Rouge in Baton Rouge, LA is seeking a Full-Time Medical Biller to support day-to-day revenue cycle operations. The role focuses on submitting Medicare and Medicaid claims accurately and timely, and ensuring compliance with applicable regulations.

Responsibilities include following up on denied claims, reconciling EOBs, communicating with patients, maintaining HIPAA-compliant records, and collaborating with departments to improve claim accuracy.

Qualifications

• High school diploma or equivalent required.
• Associate’s degree in Healthcare Administration or related field preferred.
• Certifications preferred: CPB (AAPC), CMRS (AMBA), CBCS (NHA).
• 2–3 years of medical billing experience in a healthcare setting preferred.
• Direct experience with Medicare and Medicaid billing processes required.

Responsibilities

• Accurately and timely prepare and submit insurance claims for Medicare and Medicaid in compliance with federal and state regulations
• Follow up on unpaid or denied claims; research root causes, resolve discrepancies, and submit effective appeals as needed
• Review and reconcile EOBs and remittance advice; ensure accurate payment posting and identify variances
• Communicate with patients regarding account balances, payment plans, and billing inquiries related to Medicare and Medicaid services
• Maintain accurate billing records and documentation in accordance with HIPAA and all regulatory requirements
• Collaborate with other departmental staff, clinical teams, providers, and administrative staff to resolve billing issues and improve claim accuracy
• Stay current with Medicare and Medicaid policy updates, coding guidelines (ICD-10, CPT, HCPCS), and billing regulations
• Utilize medical billing software and Electronic Health Record (EHR) systems efficiently and accurately
• Accurately verify patient insurance information, payment systems, and government program requirements using medical billing software and online platforms
• Confirm compliance with state-specific regulations and ensure all verification data is documented accurately

Skills

Medicare/Medicaid billing

Coding knowledge

Billing software

Problem solving

Attention to detail

Communication skills

Time management

Discretion

CMS operations knowledge

Education

High school diploma

Associate degree in Healthcare Administration

CPB (AAPC)

CMRS (AMBA)

CBCS (NHA)

Tools

Medical billing software

EHR systems

Job description

Hospice of Baton Rouge in Baton Rouge, LA is seeking a Full-Time Medical Biller to support day-to-day revenue cycle operations. The role focuses on submitting Medicare and Medicaid claims accurately and timely, and ensuring compliance with applicable regulations.

Responsibilities include following up on denied claims, reconciling EOBs, communicating with patients, maintaining HIPAA-compliant records, and collaborating with departments to improve claim accuracy.