Billing Specialist

We are hiring an experienced Billing Specialist with a strong background in Medicaid billing.

This role requires more than basic claim submission. We are looking for someone who understands documentation review, eligibility validation, compliance standards, financial reporting, and pre-billing accuracy checks.

Key Responsibilities:

• Submit and manage claims through the state claim portal
• Verify eligibility prior to billing
• Review service documentation and authorizations before claim submission
• Review service logs and match them against claim data to ensure accuracy, correct units, proper modifiers, and full compliance
• Validate place of service and billing details against supporting documentation
• Monitor claim status, denials, and resubmissions
• Maintain accurate billing trackers and reconciliation sheets
• Prepare and submit financial and billing reports to clients
• Assist with invoice tracking and payment reconciliation<...