Medicaid Billing Specialist jobs in United States
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Pathfinder · 19 hours ago

Medicaid Billing Specialist

Pathfinder is a company dedicated to strengthening communities by enabling people with disabilities or economic challenges to achieve autonomy, inclusion, and stability. As a Medicaid Billing Specialist, you will manage Medicaid billing for group and waiver homes, ensuring accurate and timely funding for essential services.

Health CareNursing and Residential CareSocial AssistanceUnderserved Children

Responsibilities

Manage all aspects of Medicaid billing for Group Homes and Waiver Homes
Ensure services are billed accurately and in alignment with Notices of Action (NOAs)
Analyze Medicaid billing revenue to confirm all allowable services are captured
Partner closely with Program Directors and internal teams to ensure proper billing procedures
Serve as a billing resource across departments to resolve questions and discrepancies
Provide backup support to the Accounts Receivable Grants Specialist as needed
Research, resolve, and follow up on disputed or denied Medicaid claims
Review Medicaid receivables regularly and address past-due balances
Maintain accurate billing documentation and records
Prepare monthly Medicaid billing, adjustment, and revenue reports
Assist with the monthly close process
Support year-end financial audits, Medicaid audits, and other reviews
Update supported living lease agreements annually
Stay current on Medicaid billing regulations and reimbursement procedures
Participate in continuing education and required trainings

Qualification

Medicaid billingAccounting softwareMicrosoft OfficeData analysisCommunication skills

Required

Minimum of high school diploma/GED; associate or bachelor's degree preferred
A minimum of one year experience in accounting preferred
Ability to develop and deliver accurate data for review or presentation
Proficiency in Microsoft Office products and accounting software
Excellent written and verbal communication
Ability to speak, hear, and read the English language

Benefits

Competitive Pay & Paid Training – Earn while you learn with comprehensive training.
Paid Time Off & Holidays – Maintain a healthy work-life balance with PTO and paid holidays.
Comprehensive Insurance Coverage – Medical, Dental, and Vision plans to support your well-being.
Employer-Paid Coverage – Enjoy free Basic Life Insurance, Short-Term Disability (STD), and Long-Term Disability (LTD).
403(b) Retirement Plan with Employer Match – Plan for your future with a generous retirement savings plan and employer contributions.
Tuition Reimbursement – Invest in your future with financial assistance for continued education.
Professional Development & Training – Enhance your skills and career through learning opportunities.
Person-Centered Thinking Training – Gain valuable insights into individualized care and service.
Wellness Platform Incentives – Earn rewards for prioritizing your health and well-being.
Financial Wellness Platform – Access earned wages before payday for added financial flexibility.
Employee Assistance Program (EAP) – Free, confidential support sessions for employees and their immediate household members.
Free Pathfinder Kids Clinic – Providing childcare for children in the community with minor illnesses.
Exclusive Discounts – Save with special offers, including:
Verizon Wireless Discount – Stay connected for less.
YMCA Discount – Enjoy reduced membership rates for fitness and wellness.

Company

Pathfinder

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Pathfinder Services strengthens communities by enabling people with disabilities or economic challenges to achieve autonomy, inclusion, and stability.

Funding

Current Stage
Growth Stage
Total Funding
unknown
Key Investors
Internal Revenue Service
2021-10-10Grant

Leadership Team

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Danielle Tips
President and CEO
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Aubrey Eastway
Chief Development and Marketing Officer
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Company data provided by crunchbase