ImpactKare ยท 10 hours ago
Medicaid Billing Specialist
ImpactKare is a boutique healthcare staffing partner specializing in mental health and clinical placements. They are seeking a Medicaid Billing Specialist to manage Medicaid claims from submission through resolution, ensuring accuracy, compliance, and timely reimbursement.
Staffing & Recruiting
Responsibilities
Following up on Medicaid unpaid, pending, or denied claims
Researching denials and underpayments to identify root causes
Correcting, updating, and resubmitting Medicaid claims as needed
Working directly with Medicaid payers to resolve claim issues
Documenting all follow-up actions clearly and thoroughly
Assisting patients with Medicaid balance questions when applicable
Identifying trends and opportunities to reduce recurring denials
Collaborating with internal billing and clinical teams to improve processes
Maintaining strict HIPAA compliance and confidentiality
Qualification
Required
High school diploma or GED required
1+ year of hands-on Medicaid billing and follow-up experience (required)
Strong understanding of Medicaid rules, denials, and reimbursement workflows
Experience using EMR and billing systems
Excellent written and verbal communication skills
Highly organized, detail-driven, and solution-focused
Ability to manage multiple Medicaid accounts in a fast-paced environment