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Medicaid Waiver Billing Specialist
2 weeks ago
Think you're a great fit for this job? Email me at
True Trust Residential Care, LLC is a licensed Indiana Home and Community-Based Services (HCBS) provider committed to delivering high-quality, person-centered care to individuals with intellectual and developmental disabilities through Medicaid Waiver services. We take pride in raising professional standards within the HCBS industry and ensuring compliance, integrity, and excellence across all areas of service delivery—including billing and financial operations.
Position Summary
True Trust Residential Care, LLC is seeking an experienced Medicaid Waiver Billing Specialist with direct, hands-on experience billing Indiana's Medicaid Waiver programs (FSW and CIH). The ideal candidate has a deep understanding of the Indiana FSSA/BDDS billing processes, CoreMMIS portal, provider documentation requirements, service codes, and audit compliance. This role is responsible for ensuring that all services are billed accurately, timely, and in full compliance with state and federal regulations.
Only applicants with verifiable, real-world experience billing Indiana HCBS Medicaid Waiver services will be considered.
Key Responsibilities
- Accurately prepare and submit Medicaid Waiver claims (FSW, CIH) through CoreMMIS and other applicable systems.
- Review and verify documentation for billable activities in compliance with Indiana FSSA, BDDS, and Waiver requirements.
- Reconcile billing, identify and correct claim denials, resubmit claims as necessary, and monitor payment trends.
- Collaborate with Behavior Consultants, Program Coordinators, and administrative staff to ensure accurate service documentation and timely billing.
- Maintain up-to-date knowledge of service definitions, authorization limits, unit tracking, codes, and Medicaid policies.
- Develop and maintain internal billing procedures that meet compliance and audit standards.
- Generate billing reports and assist leadership with revenue tracking and forecasting.
- Serve as a subject matter expert and point of contact for Indiana Medicaid Waiver billing compliance questions.
- Support preparation for audits, reconciliations, and quality assurance reviews.
Qualifications
- Required: Minimum 2 years of hands-on experience billing Indiana Medicaid Waiver (FSW & CIH) programs through CoreMMIS.
- Demonstrated understanding of Indiana service codes (e.g., RHS, PAC, Behavior Management, Transportation, Wellness Coordination, etc.) and billing documentation standards.
- Strong working knowledge of FSSA/DDRS/BDDS regulations, service authorization, and claim submission rules.
- Experience with Pavillio, CoreMMIS, or similar EHR/billing software preferred.
- High attention to detail, accuracy, and compliance.
- Strong organizational skills with the ability to manage multiple deadlines.
- Excellent communication and problem-solving skills.
- Ability to work independently with minimal supervision.
- Indiana residency required.
Preferred Skills
- Experience auditing documentation for billable compliance.
- Familiarity with behavior management service billing and documentation.
- Prior experience working with multiple HCBS service lines.
- Understanding of EVV (Electronic Visit Verification) requirements.
Job Types: Full-time, Part-time
Pay: $ $30.00 per hour
Expected hours: 15 – 35 per week
Work Location: Hybrid remote in Greenwood, IN 46142