Medicaid EVV and Claims Specialist

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🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 No degree required

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AxisCare Home Care Software

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2011

🏥 Healthcare

💼 Consulting

📣 Marketing

Healthcare • Consulting • Marketing

AxisCare Home Care Software is a leading provider of software solutions designed specifically for home care agencies. Their platform offers a comprehensive suite of features including caregiver management, electronic visit verification (EVV), scheduling, billing, and reporting tools to enhance operational efficiency and improve caregiver satisfaction. AxisCare is dedicated to supporting agencies of all sizes in delivering exceptional care to clients while streamlining their business operations.

📋 Description

• Analyze and resolve issues related to Medicaid EVV submissions, 837 claims, payer rejections, token mismatches, and state or aggregator requirements • Build and troubleshoot Electronic Service Documentation (ESD) forms using configuration tools and assess downstream impacts of changes • Serve as an escalation point for complex or unresolved EVV and claims issues • Liaise between frontline support and internal teams or state aggregators for higher-level problem-solving • Guide customers through troubleshooting and resolution for state-specific EVV programs • Monitor Zendesk support queue and respond to client inquiries by phone and email • Maintain thorough Zendesk documentation and follow up on open tickets • Escalate bugs and recurring issues to Product or Engineering teams • Contribute to collaborative troubleshooting • Create and maintain knowledge base articles and training videos • Deliver live trainings related to Medicaid workflows and EVV configurations • Monitor state Medicaid program updates and evolving EVV/claims requirements • Support onboarding of enterprise-level homecare agencies with complex Medicaid billing and EVV requirements using AxisCare • Maintain clear client communication and proactively communicate with clients and teammates

🎯 Requirements

• Bachelor’s degree in a relevant field or equivalent work experience preferred • 2+ years of prior experience in homecare operations, Medicaid billing, or healthcare software support required • Specific experience handling EVV and claims required • Deep understanding of Medicaid billing workflows, EVV requirements, and state-specific variations • Strong problem-solving skills and ability to analyze complex workflows and data sets • Excellent written and verbal communication skills • Experience with ticketing systems, CRM platforms, and knowledge base tools • Highly organized and able to manage multiple priorities in a fast-paced environment • Ability to work collaboratively in a team and independently when necessary • Proficiency with the AxisCare user interface • Knowledge of state-specific EVV programs such as Sandata, Tellus, HHAeXchange, and LaSRS • Ability to navigate EVV and ESD configuration tools • Manual dexterity required to use desktop computer and peripherals • Ability to use software and email to perform job functions • Ability to conduct camera-on videoconferencing for customer calls

🏖️ Benefits

• Competitive salary and comprehensive benefits package • Medical insurance premiums covered in full for the employee (Medical, Dental and Vision) • 401K with competitive company matching • Personal time off, sick leave, and holidays • Company-provided laptop and other needed computer equipment