Medicaid EVV Biller

Trusted Hands Senior Care•Atlanta, GA

About The Position

Trusted Hands Senior Care is a leading healthcare provider dedicated to delivering high-quality services to our patients. We are currently seeking a detail-oriented and knowledgeable Medicaid EVV Biller to join our billing team. The ideal candidate will have experience in electronic visit verification (EVV) processes and a strong understanding of Medicaid billing procedures. The Medicaid EVV Biller will be responsible for ensuring compliance with Medicaid billing regulations and electronic visit verification requirements. The successful candidate will manage the billing process, handle claims submissions, and resolve billing discrepancies, all while maintaining accurate patient records and collaborating with clinical staff.

Requirements

High school diploma or equivalent; Bachelor's degree in Healthcare Administration, Business, or a related field is preferred.
Proven experience in medical billing, preferably with a focus on Medicaid and EVV systems.
Knowledge of healthcare billing codes, insurance claims processing, and relevant regulations.
Strong attention to detail and accuracy in data entry and documentation.
Excellent communication skills, both written and verbal, with the ability to explain complex billing issues clearly.
Proficient in using billing software and electronic health record (EHR) systems.
Ability to work independently as well as part of a team in a fast-paced environment.

Nice To Haves

Certification in medical billing or coding (e.g., CPC, CCA) is a plus.
Familiarity with state-specific Medicaid regulations and requirements.
Experience with claims management software and reporting tools.

Responsibilities

Review and verify accuracy of patient records and service documentation before billing.
Submit Medicaid claims using electronic visit verification (EVV) systems and ensure timely processing of claims.
Monitor and resolve billing issues, denials, and rejections in coordination with the billing department and relevant stakeholders.
Maintain up-to-date knowledge of Medicaid regulations, policies, and EVV requirements to ensure compliance.
Communicate with patients, caregivers, and other healthcare providers regarding billing inquiries and payment issues.
Generate and analyze billing reports to track revenue, identify trends, and make recommendations for improvement.
Collaborate with other departments to ensure a clear understanding of billing processes and patient care documentation.
Stay informed about changes in Medicaid policies and billing processes to ensure accurate and timely reimbursements.