Medicaid Billing Analyst (Contract)

New Perspective•Minnetonka, MN

1d•Hybrid

About The Position

We have an opportunity for a full-time Billing Analyst (Contract) to coordinate Medicaid claims submission for the company. This position is based in our Resource Center located in Minnetonka, MN. Primary responsibilities include financial oversight of Medicaid revenue line, claims submission, maintaining accurate records, and working collaboratively to ensure timely payment.

Requirements

2+ years of experience in Medicaid billing
Strong computer and software skills.
Familiarity with Medicaid billing procedures and regulations
Excellent attention to detail and must maintain accuracy
Ability to work independently with minimal supervision and collaboratively as a team

Nice To Haves

Bachelor’s Degree in related field preferred
Eldermark and PointClickCare experience a plus

Responsibilities

Financial oversight of Medicaid revenue line
Submit Medicaid claims monthly
Ensure billing accuracy for dates and services rendered
Work with MCOs/vendors to set up autopay if applicable
Manage MCO payments and work to get 100% of claims paid through ACH vs check
Maintain service authorization binders and spreadsheets to ensure accurate billing rates
Update billing system to reflect any change in daily rates
Update billing system to reflect resident days out of the community
Collaborate with community to ensure residents receive timely communication if converting to Medicaid
Proactively look for new service authorizations prior to expiration to ensure continuous claim submission and payment
Work with case manager to ensure new authorizations are received upon expiration
Maintain accurate spreadsheets of Medicaid residents, service authorization information, fees, and dates of billing
Apply Medicaid payments in billing system
Bill residents in billing system for required patient obligations
Contact Medicaid providers to request information, ask questions about payments and service authorizations
Review Medicaid accounts receivable and work to resolve any denied or unpaid claims
Very and reconcile Medicaid payments received
Assist communities with monitoring and provide reporting on residents migrating from private pay to Medicaid or other government programs