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Medicaid Biller – Dallas, TX (Remote)

Medicaid Biller – Dallas, TX (Remote)

Medicaid Biller

Dallas, TX (Remote)

Pediatric Home Healthcare

 

About us:

Where Children Matter Most! A provider of home healthcare services, Pediatric Home Healthcare, LLC is a Pediatric Therapy and Skilled Private Duty Nursing Agency. We value children’s well-being and are guided by our ethical and moral standards in every detail of our business. We demonstrate this through our continual transparent communication with the families of our patients and our commitment to hiring benevolent and hard-working employees in both the field and office.

We offer:

  • Competitive wages
  • Medical, Dental, and Vision Insurance
  • Flexible Spending Account
  • 401K
  • Short-Term Disability
  • Supplemental Life/AD&D
  • Critical Illness and Accident Insurance
  • Uncapped nurse referral bonus
  • Vacation accrual

Position Expectations:

We are seeking a skilled and experienced Medicaid Biller/Revenue Manager to oversee the billing processes and revenue management specifically related to Medicaid in a healthcare setting. The successful candidate will be responsible for ensuring accurate and timely submission of Medicaid claims, optimizing reimbursement, and maintaining compliance with Medicaid regulations.

Responsibilities:

  • Manage the billing and reimbursement process for Medicaid claims, including claim submission, follow-up, and resolution of denials or discrepancies.
  • Verify patient eligibility and benefits coverage for Medicaid services prior to billing.
  • Stay current with Medicaid policies, guidelines, and reimbursement rates to ensure compliance and maximize reimbursement.
  • Collaborate with healthcare providers and clinical staff to obtain necessary documentation for accurate claim submission.
  • Monitor and analyze Medicaid billing data to identify trends, patterns, and opportunities for process improvement.
  • Conduct regular audits of Medicaid claims to ensure accuracy, completeness, and compliance with regulations.
  • Train and educate staff members on Medicaid billing processes, policies, and procedures.
  • Serve as a liaison with Medicaid agencies, payers, and third-party vendors to resolve billing issues and inquiries.
  • Prepare and present reports on Medicaid billing performance, revenue trends, and key metrics to management.
  • Implement strategies to optimize Medicaid reimbursement and minimize revenue leakage.

Qualifications:

  • Bachelor’s degree in healthcare administration, finance, or related field preferred.
  • Minimum of [Specify number of years] years of experience in Medicaid billing and revenue management in a healthcare setting.
  • Proficiency in Medicaid billing software and electronic health record (EHR) systems.
  • Strong understanding of Medicaid regulations, policies, and reimbursement methodologies.
  • Excellent analytical and problem-solving skills with a keen attention to detail.
  • Ability to effectively communicate and collaborate with interdisciplinary teams.
  • Proven ability to manage multiple priorities and meet deadlines in a fast-paced environment.
  • Certification in Healthcare Billing and Coding (e.g., CPC, CPB) is a plus.