Medicaid Billing Specialist

Job Roles

• Manage and process Medicaid claims for dialysis services, ensuring accuracy and timely submission.
• Review patient information and medical records to verify eligibility and ensure proper coding.
• Follow up on denied or unpaid claims and submit appeals as necessary.
• Resolve billing discrepancies and respond to inquiries from state Medicaid agencies.
• Maintain and update patient billing information and records in the billing software.
• Collaborate with the clinical and administrative teams to gather necessary documentation for billing.
• Ensure compliance with all federal and state regulations regarding Medicaid billing.

-Requirements-

Work Experience

• A minimum of 5 years of experience in medical billing, with a strong focus on Medicaid billing .
• Proven experience in a healthcare setting, preferably with exposure to dialysis or nephrology billing .
• Experience in revenue cycle management is highly desirable.
• Prior experience with Gaia dialysis billing software is strongly preferred.

Education

• A Bachelor's degree in Finance, Accounting, Business Administration, or a related field.
• A certification in medical billing (e.g., AAPC, AHIMA) is a plus.

Skills

• Expert knowledge of Medicaid billing regulations and procedures.
• Proficiency in medical billing software, with a preference for Gaia .
• Strong understanding of medical terminology, CPT, and ICD-10 coding.
• Excellent analytical and problem-solving skills.
• High level of accuracy and attention to detail.
• Effective communication and interpersonal skills.
• Ability to work independently and as part of a team in a fast-paced environment.

-Benefits-

Workdays: Monday - Friday

Work hours : 6 pm – 3 am PKT (Night shift)

Gross Salary (USD): $500 - $550

Benefits: Annual Bonus, Eid Bonuses, Provident Fund, Health Insurance (IPD, OPD), Fuel Card or Company Pick & Drop, EOBI, Free Meal