Masonic Villages of Pennsylvania · 1 week ago
Medicaid Billing Specialist
Elizabethtown, PA
Full-time
Onsite
Entry, Mid Level
2+ years expMasonic Villages of Pennsylvania is a long-established organization providing care and services across Pennsylvania. They are seeking a Medicaid Billing Specialist responsible for accurate Medicaid billing, resident invoicing, and processing insurance payments while ensuring compliance with regulations.
Elder CareHealth CareNon ProfitRetirement
Responsibilities
Prepare, review, and submit accurate and timely Medicaid and Community Health Choices claims via Point Click Care, Clearinghouse, and PA PROMISe
Monitor claim status, post payments, resolve denials, and perform timely resubmissions
Maintain accurate billing records and audit for compliance
Process outside medical invoices, including applying for charity care programs as appropriate, and payment/tracking of resident insurance premium invoicesPost resident income payments, enter changes to income and deduction billing set up as appropriate, and process monthly resident statements
Stay current on Medicaid regulations and eligibility requirements
Collaborate with internal teams to ensure accurate demographic, census, and financial data
Serve as a resource for residents and families regarding insurance coverage and billing related matters
Communicate effectively with case management and clinical teams
Qualification
Required
Minimum 2 years of experience in Medicaid billing or healthcare revenue cycle
Proficiency in PA PROMISe and other payer systems, strongly preferred, including a strong understanding of clean claim submission requirements
Experience with Point Click Care, strongly preferred
Proficiency in computer operations
Demonstrated experience with Microsoft Office Suite to include spreadsheet development and data analysis functionalities
Efficient management of digital files and databases
Experience with cloud-based collaborative tools (e.g., Microsoft Teams, SharePoint) preferred
Possess exceptional communication skills
Demonstrate a high degree of adaptability
Exhibit meticulous attention to detail
Have a collaborative mindset with strong teamwork capabilities
Ability to think critically
Commitment to professional growth as a curious and continuous learner
Negotiation and persuasive skills necessary to influence key stakeholders and drive business outcomes
Demonstrates strong time management skills by effectively prioritizing tasks
Managing competing demands
Consistently meeting deadlines as assigned
Maintains accountability for deliverables
Proactively communicates progress
Ensures timely completion of responsibilities in alignment with team and organizational goals
Preferred
Proficiency in PA PROMISe and other payer systems, strongly preferred, including a strong understanding of clean claim submission requirements
Experience with Point Click Care, strongly preferred
Experience with cloud-based collaborative tools (e.g., Microsoft Teams, SharePoint) preferred
Benefits
Comprehensive industry-leading benefits package
Vacation Time/Flex Time and Paid Holidays
Pay on-demand. Access to a portion of your earned wages in real-time.
Discounted Grocery gift cards
Tuition and Educational Reimbursement
Discounts for onsite Daycare
Free Gym and Pool Membership
Paid lunch break
Discounted tickets for movies, theme parks, hotels, and MORE!
Shoe discounts
Cell phone discounts
Weekend differentials and additional shift differentials!
Employer matched Retirement Savings with free financial planning
Employer - sponsored Employee Assistance Program (EAP)
A commitment to growing our leaders with leadership & mentorship programs available
Company
Masonic Villages of Pennsylvania
We are a not-for-profit organization providing continuing care retirement services, children’s services and community outreach services at our locations in Dallas, Elizabethtown, Lafayette Hill, Sewickley and Warminster.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Pam Formica
Chief Financial Officer
Joseph Franco
Chief Information Officer
Company data provided by crunchbase