Medicaid Billing Specialist

ICM•Little Rock, AR

2d•Hybrid

About The Position

The Medicaid Billing Specialist supports the fiscal integrity of ICM by setting up customers in the EHR system, maintaining accurate billing documentation across ICM systems, billing customer payors manually and electronically, analyzing claims, managing collections, and assisting with other billing functions. The role helps ensure financial operations are accurate, efficient, and consistent with ICM’s commitment to providing services to individuals with disabilities. The position manages plan authorizations, customer records and eligibility, and manual and electronic billing. It also maintains billing source documentation and prepares assigned weekly and monthly reports. Additional responsibilities include assisting with audits and compliance, responding to ad hoc requests from the Controller and CFO, and cross-training with Finance Department colleagues. The position primarily works Monday through Friday, 8 a.m. to 4 p.m., though workdays and hours may vary to meet customer and agency needs. Evening or weekend work may be needed in emergencies. ICM permits a supervisor-approved hybrid arrangement of two to three remote days per week, on a flexible basis.

Requirements

At least six months of experience in billing processing or a related area.
Knowledge of computer fundamentals and business software, including databases, spreadsheets, and word processing software.
Proficiency with Microsoft Office, especially Microsoft Excel.
Ability to identify billing issues, investigate discrepancies, and problem-solve to resolve them.
Ability to research, learn, interpret, and apply billing and service rules, regulations, and policies.
Strong organizational skills and ability to plan work, meet deadlines, and manage time.
Strong communication and interpersonal skills, including the ability to interact effectively with staff, clients, customers, management, and outside parties with tact, enthusiasm, and patience.
Strong ethical standards, attention to detail, and analytical ability.
Ability to handle sensitive information confidentially and comply with HIPAA regulations.
Ability to take ownership of responsibilities and work independently with judgment and discretion.
Ability to type and use a computer efficiently and operate office equipment such as a copier, multi-line phone system, and fax machine.
Ability to work with frequent interruptions.
Ability to perform tasks efficiently and meet the position’s physical requirements, including sitting, standing, handling and lifting, manual and finger dexterity, and hand-eye coordination.
Ability to lift and carry items weighing up to 25 pounds.
Ability to maintain a clean and orderly work environment, maintain prompt and regular attendance, and follow ICM policies and procedures.
Ability to understand and endorse ICM’s mission and vision.

Nice To Haves

Two years of college or vocational technical coursework in Business Administration or a related area.
A bachelor’s degree in Business Administration, Finance, or a related field.
Medicaid billing experience.

Responsibilities

Review, verify, and process plan authorization requests.
Track expiring plan authorizations and communicate effectively with the operations team about them.
Create customers in Therap and ensure their configurations meet billing requirements.
Enroll, discharge, and maintain customers and customer information in Therap.
Create customer caseloads in Therap and maintain accurate customer records.
Monitor customer eligibility weekly and work with the operations department to prevent lapses in eligibility.
Complete manual billing and perform electronic billing.
Bill Autism supplies, reimbursable mileage, OHCDS expenses, and therapist services accurately.
Organize and maintain source documentation, including invoices and expense reports.
Prepare assigned weekly and monthly billing reports.
Assist with audit requests and help keep the agency compliant with applicable laws, rules, and regulations.
Complete ad hoc requests from the Controller and CFO.
Cross-train with other Finance Department team members.
Perform other duties as assigned by the Controller and CFO.