Vibrant Homecare & SCL · 1 day ago
Medicaid Unskilled Home Care Biller
North Liberty, IA
Full-time
Onsite
Entry Level
1+ years expVibrant Homecare & SCL is dedicated to providing non-medical in-home care and supportive community living services aimed at helping individuals lead safe, independent, and dignified lives. The Medicaid Unskilled Home Care Biller will manage billing for Iowa Medicaid home care services, ensuring accurate claim submission and compliance with requirements while resolving denials in a timely manner.
Hospital & Health Care
Responsibilities
Prepare, submit, and track Medicaid claims for Iowa unskilled home care services
Bill services under Iowa Medicaid HCBS waiver programs (e.g., Elderly, Ill & Disabled, Health & Disability, Brain Injury)
Verify Medicaid eligibility, prior authorizations, service units, and limits
Review and reconcile caregiver timesheets and EVV data for accuracy and compliance
Ensure billed services align with approved care plans and authorizations
Manage authorizations and update PMS
Research, correct, and resubmit denied or rejected claims
Submit claim corrections and appeals within IME and MCO deadlines
Communicate with Iowa Medicaid Enterprise (IME) and Medicaid Managed Care Organizations (Wellpoint, Molina, Iowa Total Care, etc.)
Maintain accurate billing documentation for audits and compliance reviews
Assist with IME audits, recoupments, and payer requests
Qualification
Required
High school diploma or equivalent (Associate's degree preferred)
1–3 years of Medicaid billing experience, preferably in home care or HCBS
Working knowledge of Iowa Medicaid billing rules
Experience with EVV systems and Medicaid billing portals
Strong attention to detail and organizational skills
Proficiency with billing software and Microsoft Excel
Ability to manage deadlines and multiple priorities
Preferred
Direct experience billing Iowa Medicaid HCBS services
Familiarity with IME policies, waiver billing, and unit-based services
Experience with Medicaid Managed Care billing and appeals
Knowledge of HIPAA and healthcare compliance requirements
Company
Vibrant Homecare & SCL
Vibrant is a care services organization providing non-medical in-home care and supportive community living services.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase