Medicaid Billing & Accounts Receivable Specialist

Community Connection ProgramsNew Orleans, LA
25d$20 - $22Hybrid

About The Position

Community Connection Programs, Inc. is seeking an experienced Billing & Accounts Receivable Specialist to support Louisiana Medicaid Home and Community Based Services (HCBS) Personal Care Attendant (PCA) programs. This role is responsible for full-cycle Medicaid billing, accounts receivable follow-up, and recovery of outstanding revenue across multiple waiver programs. This position is ideal for a billing professional who understands Louisiana Medicaid, EVV requirements, and denial resolution—and who is motivated by performance-based growth opportunities.

Requirements

  • Experience billing Louisiana Medicaid (HCBS or PCA preferred)
  • Experience working denials, re-billing, and appeals
  • Understanding of EVV and authorization-based billing
  • Strong attention to detail and organization
  • Ability to manage multiple programs and payer requirements

Nice To Haves

  • Experience with historical A/R cleanup
  • Knowledge of Medicaid waiver programs and EPSDT billing
  • Experience working across multiple billing systems

Responsibilities

  • Submit Medicaid and MCO claims for HCBS PCA services using Medisoft
  • Verify EVV compliance in AxisCare prior to billing
  • Ensure accurate service codes, modifiers, units, and authorizations
  • Review remittance advice (RA/EOBs) and post payments accurately
  • Investigate denials and complete corrections, re-bills, and appeals
  • Actively follow up on unpaid claims and manage A/R aging
  • Assist with cleanup and recovery of historical A/R
  • Identify denial trends and recurring billing errors
  • Pause billing when EVV, documentation, or authorizations are incomplete
  • Collaborate with scheduling, EVV, and care management teams
  • Participate in billing and operations check-ins
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