Location: Charleston, Illinois (on-site)
Reports To: Billing Director
The Medicaid Billing Specialist is responsible for accurate and timely Medicaid billing across multiple states. This role requires strong knowledge of Medicaid processes and the ability to manage varying state requirements.
Medicaid Billing
Prepare and submit Medicaid claims accurately and on time
Ensure compliance with state-specific Medicaid requirements
Maintain accurate resident financial records and eligibility information
Eligibility & Documentation
Verify Medicaid eligibility and coverage details
Work with facilities to obtain required documentation
Ensure proper authorizations and documentation are in place
Denials & Follow-Up
Investigate and resolve denied or rejected Medicaid claims
Resubmit claims and ensure timely reimbursement
Work closely with AR team on outstanding balances
Systems
MUST have SNF Medicaid billing experience
3+ years of Medicaid billing experience (multi-state preferred)
Strong understanding of Medicaid processes and requirements
Experience with PointClickCare (PCC) required
Highly detail-oriented with strong follow-up skills
