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Medicaid Billing Specialist

2 months ago

Allentown, Pennsylvania, United States Phoebe Ministries Full time
Job Summary

We are seeking a highly skilled Medicaid Billing Specialist to join our team at Phoebe Ministries. As a Medicaid Billing Specialist, you will be responsible for ensuring accurate and timely billing for Medicaid services.

Key Responsibilities
  • Enter PA162's/MA Approvals for Medicaid Fee for Service and Community Health Choices MA products into the Billing System upon receipt.
  • Manage census line entries to ensure accurate billing.
  • Conduct audits to validate Resident medical expenses and insurance premiums submitted to Medicaid.
  • Submit monthly claims and claim adjustments based on Medicaid protocols.
  • Review and prepare responses to Community Health Choices Claim Audit(s).
  • Submit 180-day exception unit claims.
  • Manage and post payments associated with Medicaid to Resident accounts.
  • Monitor and report on Medicaid receivable trends.
Requirements
  • Bachelor's degree in Business Administration or related field preferred.
  • Minimum three years of experience in medical claims billing/coding, insurance follow-up processes, and procedures.
  • Experience working for a medical insurance company.
  • Strong analytical and problem-solving skills.
  • Ability to work in a fast-paced environment and meet deadlines.
What We Offer
  • Generous paid annual leave time.
  • Full benefit package, including health, dental, vision, and life insurance.
  • Tuition reimbursement.
  • Service awards and recognition gift cards.