Medicaid Billing Specialist

We are a fast-growing healthcare organization redefining how Medicaid services are delivered across multiple states. This role is for a driven, entrepreneurially minded Billing Specialist who thrives in meaningful and energetic work environments.

As the Medicaid Billing Specialist, you will:

• Submit and manage Medicaid claims electronically and on paper
• Verify patient eligibility and benefits prior to service
• Investigate, appeal, and resolve denials and rejections
• Post EOBs, reconcile payments, and manage the reimbursement process
• Identify billing trends and proactively flag process improvements
• Collaborate with clinical staff to ensure accurate documentation and coding
• Stay current on Medicaid policy changes and payer updates across programs
• Support audits, compliance reviews, and reporting requests

Requirements:

• 2+ years of Medicaid billing experience
• Working knowledge of ICD-10, CPT, and HCPCS coding
• Experience with ERA/EFT, clearinghouses, and EHR/PM systems
• General knowledge of Medicaid programs nationwide; familiarity with California Medi-Cal a plus
• CPC, CPB, or CBCS certification a plus
• Self-starter, excellent attention to detail, comfortable working in ambiguity

Preferred:

• Experience billing for behavioral health, FQHC, home health, or community health
• Knowledge of Medicaid managed care plans across multiple states
• Background in revenue cycle, medical office administration, health information management, or accounting
• Accounting or finance coursework, bookkeeping experience, or comfort with reconciliations and financial reporting

Location: Fully Remote (U.S.-based) Schedule: Monday–Friday