We are seeking a detail-oriented and experienced Medicaid Biller & Follow-Up Specialist to manage the full revenue cycle process, including claim submission, payment posting, account follow-up, and denial resolution. This role is responsible for ensuring accurate billing, timely reimbursement, and maintaining strong accounts receivable performance while adhering to Medicaid regulations and payer requirements.

The ideal candidate will have strong knowledge of Medicaid billing processes, excellent attention to detail, and the ability to investigate and resolve claim issues efficiently.  Prepare, review, and submit accurate Medicaid claims electronically and through appropriate billing platforms.  Verify patient eligibility, authorization requirements, and billing information prior to claim submission.  Process payments, post insurance remittances, and reconcile accounts accurately.  Monitor unpaid claims and perform timely follow-up with Medicaid payers.  Research, analyze, and resolve claim denials, rejections, and billing discrepancies.

Requirements:

• 2+ years of Medicaid billing and collections experience
• Knowledge of Medicaid claims processing, denial management, and payment posting
• Understanding of EOBs, ERAs, CPT/HCPCS codes, ICD-10 codes, and claim adjustments
• Experience using electronic billing systems and payer portals
• Strong problem-solving and analytical skills
• Excellent written and verbal communication skills
• Ability to manage multiple priorities and meet deadlines
• High level of accuracy and attention to detail
• Proficient with Microsoft Office and billing software systems
• Knowledge of healthcare revenue cycle management