Medicaid Billing Specialist

Cantex Continuing Care Network•Carrollton, TX

1d•$29 - $34•Hybrid

About The Position

The Medicaid Billing Specialist is responsible for managing Medicaid accounts receivable, claims processing, billing, collections, and reimbursement activities for multiple Skilled Nursing Facilities (SNFs) throughout Texas. This role plays a critical part in the healthcare revenue cycle by ensuring accurate Medicaid billing, timely claims submission, denial resolution, payment posting, and regulatory compliance. The Medicaid Billing Specialist partners with facility teams, state agencies, third‑party payers, and revenue cycle leadership to optimize reimbursement, improve cash flow, reduce accounts receivable aging, and strengthen overall financial performance. This position requires expertise in Medicaid billing, long‑term care reimbursement, claims management, and revenue cycle operations.

Requirements

High school diploma required
Prior Medicaid billing experience in a Skilled Nursing Facility (SNF) or Long‑Term Care environment required
Knowledge of Medicaid reimbursement, healthcare revenue cycle management, and long‑term care billing practices
Understanding of ICD‑9 and ICD‑10 diagnosis coding principles
Ability to manage multiple priorities, meet deadlines, and work efficiently in a fast‑paced environment
Strong analytical, organizational, communication, and problem‑solving skills
Team‑oriented mindset with willingness to assist in other areas of medical billing and accounts receivable

Nice To Haves

college degree or equivalent advanced coursework preferred
Strong knowledge of healthcare billing software, including American HealthTech (AHT) and/or HealthMEDX Vision preferred

Responsibilities

Process monthly Medicaid claims and billing for multiple Skilled Nursing Facilities
Create, submit, monitor, and reconcile Medicaid claims
Analyze, investigate, and resolve denied, rejected, or underpaid claims
Verify Medicaid eligibility, payer requirements, and resident coverage information
Post payments and maintain accurate reimbursement records
Respond to provider, facility, and payer billing inquiries
Ensure billing is accurate, complete, and compliant with all federal, state, and Medicaid regulations
Coordinate third‑party billing activities with facility personnel and operational teams
Collaborate with fiscal intermediaries, auditors, accountants, cost report preparers, state agencies, and insurance carriers
Monitor accounts receivable balances and maintain aging within established company standards
Assist with collection efforts and resolution of outstanding reimbursement issues
Utilize billing software to maximize efficiency, accuracy, and revenue cycle performance
Ensure proper electronic claim submission and compliance with payer transmission requirements
Analyze and resolve technical billing issues related to claims processing, reimbursement calculations, resident accounts, and claim transmission errors
Ensure compliance with Medicaid billing regulations, company financial management systems, and revenue cycle initiatives
Compile, prepare, and distribute billing, reimbursement, collection, and accounts receivable reports as requested
Support company DSO, cash collection, and reimbursement goals through proactive account management
Perform additional duties and special projects as assigned by the Sr. Manager of Medicaid Services, Director of Finance, or CFO