The Billing Specialist supports financial and program leadership in developing, implementing, and managing Medicaid billing processes for housing support services. Responsibilities include processing Medicaid service authorizations and claims; ensuring compliance with Medicaid guidelines; managing claim submissions, denials, and follow-ups; liaising with NJ Family Care and Managed Care Organizations; reviewing client records for proper coding and documentation; training staff on billing, coding (CPT, ICD-10, HCPCS), and documentation protocols; generating billing reports and KPIs; developing billing policies and procedures; conducting audits and continuous improvements; ensuring billing and grant invoicing do not duplicate; and collaborating with various departments to maintain compliance and financial sustainability.
Work Schedule: Monday through Friday, 9:00 AM - 5:00 PM
The position may offer a hybrid office/remote schedule option based on performance.
- Bachelor's degree in Accounting, Finance, Healthcare Administration, Social Work, or related field.
- 2-3 years experience in Medicaid billing, healthcare administration, or related field preferred.
- Strong knowledge of Medicaid billing procedures, coding (CPT, ICD-10, HCPCS), payer platforms (e.g., Availity), and compliance regulations preferred.
- Experience with Efforts to Outcomes (ETO) software preferred.
- Proficient in Microsoft 365 tools including Word, Excel, Outlook, and SharePoint.
- Excellent communication skills for staff training and collaboration.
- Detail oriented, able to manage multiple priorities and meet deadlines.
- Valid NJ Driver's License with an insurable driving record.
- Medical, Dental, Vision insurance
- 403B Retirement Plan
- Ten Paid Holidays
- Paid Time Off (Vacation, Sick & Personal)
Location
Newark, New Jersey, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$57,952 - $57,952
Remote work allowed
Yes
Posted
2 weeks ago