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Creative Solutions In HealthCare · 2 weeks ago

Medicaid Billing Specialist

Fort Worth, TX

Full-time

Onsite

Entry, Mid Level

$60K/yr - $60K/yr

2+ years exp

Creative Solutions In HealthCare is seeking a detail-oriented and dependable Medicaid Billing Specialist to join their growing team. This position plays a vital role in managing Medicaid billing operations to ensure timely, accurate, and compliant reimbursement for patient services.

Creative AgencyCustomer ServiceHealth CareHospital

Responsibilities

Prepare, review, and submit Medicaid claims for reimbursement in a timely and accurate manner

Research and resolve billing discrepancies, denials, and payment issues

Verify patient coverage and eligibility through Medicaid and other payer portals

Ensure compliance with all Medicaid guidelines, regulations, and billing codes

Communicate with facilities, insurance providers, and internal departments to gather missing documentation and clarify information

Monitor and track aging reports, following up on outstanding claims

Process adjustments and corrections as needed to maintain account accuracy

Maintain detailed and organized records of all billing activity

Assist with audits, reporting, and data analysis related to Medicaid billing performance

Stay current with Medicaid billing updates and regulatory changes

Qualification

Medicaid billing experienceMedicaid rules understandingMicrosoft Excel proficiencyBilling software proficiencyProblem-solving skillsAttention to detailCommunication skillsTeam collaboration