Billing Specialist

Job Summary:

• We are seeking a detail-oriented Billing Specialist to manage the billing and receivables function for our home safety assessment and modification company.
• The ideal candidate has experience billing ancillary and non-medical services to Medicaid and Medicare payers.

Key Responsibilities:

• Timely submit invoices to payers, track progress, manage denials, and ensure accurate payments.
• Monitor unpaid invoices, investigate rejections, correct errors, and file appeals.
• Serve as primary point of contact for payers to resolve payment discrepancies.

Qualifications:

• 3+ years of ancillary medical billing and collections experience with MCOs and other payers.
• Deep understanding of Medicaid, Medicare, and dual-eligible billing guidelines.
• Proficiency with payer portals, clearinghouses, and billing platforms.

Preferred Qualifications:

• Direct billing experience for ancillary and community-based services.
• Specialized expertise in state waiver billing rules and government program compliance.