Medicaid Billing Clerk

Public Partnerships•Latham, NY

12d

About The Position

The Medicaid Billing Clerk manages revenue cycle operations that support organizational cash flow, low denial rates, denial root cause analysis, and mitigation of bad debt. The role uses internal and external platforms to support payer-specific revenue cycle performance and the Revenue Cycle Management Team. Candidates must reside in New York State. Public Partnerships LLC supports people with disabilities or chronic illnesses and aging adults in directing their own long-term home care. It works with states and managed healthcare organizations to help Medicaid recipients use state-approved personalized budgets to choose and pay for support workers and services. Compensation is $23.56–$25.77 per hour. A related bachelor’s degree is preferred, or may be substituted with at least one year of related experience. At least three years of medical billing experience is required. Relevant medical billing or coding certification is preferred.

Requirements

Minimum of 3 years of experience in medical billing.
Knowledge of medical billing terminology.
Proficiency with medical billing and clearinghouse systems.
Strong attention to detail and organizational skills.
Excellent verbal and written communication skills.
Proficient knowledge of Microsoft Excel.
High level of data entry accuracy and speed.
Must reside in New York State.
A related bachelor’s degree is preferred, or may be substituted with at least 1 year of related experience.

Nice To Haves

Experience in self-directed work environments.
Relevant medical billing or coding certification.
Related bachelor’s degree.

Responsibilities

Prepare and manage weekly billing activities and invoice submissions.
Prepare and resubmit corrected claims or invoices as needed.
Bill payers by entering billing information into databases.
Appeal denied claims using clearinghouse or payer portal functionality.
Reconcile billing activities between clearinghouse and host systems.
Reconcile payments and research denials using database queries and spreadsheet analysis.
Verify and maintain accurate receivable balances across multiple information systems.
Prepare reports based on Medicaid billing data and revenue.
Adjust patient bills by reviewing remittance advice and consulting with management.
Resolve billing discrepancies by researching and correcting errors.
Conduct minimal business-to-business collection activity to maintain low and current receivable balances.
Follow up on delinquent payer remittances and payments.
Escalate emerging denial trends and conduct root cause analyses.