Medicaid Billing Clerk

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🔥 1 minute ago

🗽 New York – Remote

🗽 New York – Remote

💵 $25 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

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Public Partnerships | PPL

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

🤝 B2B

Healthcare Insurance • B2B

Public Partnerships | PPL is a provider of financial management and administrative services that enable self-directed Medicaid long-term care. The company helps eligible Medicaid participants hire and manage caregivers (including family or friends), handles payroll, payments, tax and compliance paperwork, and offers online tools and support to participants, caregivers, and program administrators. PPL partners with state Medicaid agencies and managed care organizations to administer self-directed care programs across multiple states, aiming to simplify program administration and keep people in their homes.

📋 Description

• Prepare and manage weekly billing activities and invoice submissions. • Prepare and re-submit corrected claims or invoices as needed. • Bill payers by inputting billing information into databases. • Appeal denied claims utilizing clearinghouse or payer portal functionality. • Reconcile billing activities between clearinghouse and host systems. • Reconcile payments and perform denial research 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 conducting research and correcting errors. • Perform 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 determine root cause analyses.

🎯 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 • Related Bachelor’s degree preferred; can be substituted with 1+ years of related experience. • Certification: Relevant medical billing or coding certification preferred.