Medicaid Billing Specialist jobs in United States
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Creative Solutions In HealthCare · 1 month ago

Medicaid Billing Specialist

Creative Solutions in Healthcare is seeking a detail-oriented and dependable Medicare Billing Specialist to join their growing team. This role is vital in managing Medicare billing operations to ensure timely, accurate, and compliant reimbursement for patient services.

Creative AgencyCustomer ServiceHealth CareHospital

Responsibilities

Prepare, review, and submit Medicare claims for reimbursement in a timely and accurate manner
Research and resolve billing discrepancies, denials, and payment issues
Verify patient coverage and eligibility through Medicare and other payer portals
Ensure compliance with all Medicare guidelines, regulations, and billing codes
Communicate with facilities, insurance providers, and internal departments to gather missing documentation and clarify information
Monitor and track aging reports, following up on outstanding claims
Process adjustments and corrections as needed to maintain account accuracy
Maintain detailed and organized records of all billing activity
Assist with audits, reporting, and data analysis related to Medicare billing performance
Stay current with Medicare billing updates and regulatory changes

Qualification

Medicare billing experienceMedicare rules understandingBilling software proficiencyEHR systems knowledgeProblem-solving skillsAttention to detailCommunication skillsOrganizational skills

Required

2+ years of experience in Medicare billing or medical claims processing
Strong understanding of Medicare rules and procedures
Highly organized and skilled at managing multiple deadlines
Communicates clearly and professionally with both internal and external partners
Proficient in Microsoft Excel, billing software, and EHR systems
Demonstrates strong problem-solving skills and attention to detail
Can work independently while contributing to a collaborative team environment

Preferred

PointClickCare experience is a plus

Benefits

Comprehensive Benefits: Health, Dental, and Vision Insurance
Extra Protection: AD&D, Short-Term Disability, Cancer, Critical Illness, and more
Life Insurance: Whole and Term Policies
Professional Growth: Tuition Reimbursement for continued education
Time to Recharge: Paid Time Off
Retirement Planning: Immediate 401(k) eligibility
Unwavering Support: Exceptional corporate resources

Company

Creative Solutions In HealthCare

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Creative Solutions in Healthcare is a Hospitals and Health Care company.

Funding

Current Stage
Late Stage

Leadership Team

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Gary Blake
CEO and Co-Founder
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Christopher Eamiguel
Chief Financial Officer
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Company data provided by crunchbase