Medicaid Billing Specialist

Job Description

Job Description

Medicaid Billing Specialist

Full Time | Days 8am-4pm (On-site)

Masonic Villages of Pennsylvania - Elizabethtown Campus - is immediately hiring for a Medicaid Billing Specialist.

With over 145 years of providing award-winning care and services across the state of PA, Masonic Villages is driven by our Mission of Love to assist individuals in realizing their potential and enjoying the highest possible quality of life.

Why Choose Masonic Villages:

Each campus is supported by corporate leaders who are fully invested in our Mission of Love and hiring like-minded individuals who are committed to providing heartfelt customer service and contributing to our team environment. When you join our team you can expect:

• Comprehensive industry-leading benefits package ***
• Vacation Time/Flex Time and Paid Holidays ***
• Pay on-demand. Access to a portion of your earned wages in real-time.
• Discounted Grocery gift cards
• Tuition and Educational Reimbursement ***
• Discounts for onsite Daycare
• Free Gym and Pool Membership ***
• Paid lunch break ***
• Discounted tickets for movies, theme parks, hotels, and MORE!
• Shoe discounts
• Cell phone discounts
• Weekend differentials and additional shift differentials!
• Employer matched Retirement Savings with free financial planning ***
• Employer - sponsored Employee Assistance Program (EAP)
• A commitment to growing our leaders with leadership & mentorship programs available

Key: *** = Full Time & Part Time Regular Staff Only

As a Medicaid Billing Specialist, you will carry out our Mission of Love by accurately and timely Medicaid / CHC billing, resident invoicing, processing of resident insurance premiums and other outside medical payments.

Our Medicaid Billing Specialist is responsible for the following:

• Prepare, review, and submit accurate and timely Medicaid and Community Health Choices claims via Point Click Care, Clearinghouse, and PA PROMISe.
• Monitor claim status, post payments, resolve denials, and perform timely resubmissions.
• Maintain accurate billing records and audit for compliance.
• Process outside medical invoices, including applying for charity care programs as appropriate, and payment/tracking of resident insurance premium invoicesPost resident income payments, enter changes to income and deduction billing set up as appropriate, and process monthly resident statements
• Stay current on Medicaid regulations and eligibility requirements.
• Collaborate with internal teams to ensure accurate demographic, census, and financial data.
• Serve as a resource for residents and families regarding insurance coverage and billing related matters.
• Communicate effectively with case management and clinical teams.

What You Have:

• Minimum 2 years of experience in Medicaid billing or healthcare revenue cycle.
• Proficiency in PA PROMISe and other payer systems, strongly preferred, including A strong understanding of clean claim submission requirements.
• Experience with Point Click Care, strongly preferred.
• Proficiency in computer operations. Demonstrated experience with Microsoft Office Suite to include spreadsheet development and data analysis functionalities. Efficient management of digital files and databases. Experience with cloud-based collaborative tools (e.g., Microsoft Teams, SharePoint) preferred.
• Possess exceptional?communication skills, demonstrate a high degree of?adaptability, and exhibit meticulous?attention to detail. Have a collaborative mindset with strong?teamwork capabilities, the ability to think critically, a commitment to professional growth as a?curious and continuous learner, and the negotiation and persuasive skills?necessary to influence key stakeholders and drive business outcomes.
• Demonstrates strong time management skills by effectively prioritizing tasks, managing competing demands, and consistently meeting deadlines as assigned. Maintains accountability for deliverables, proactively communicates progress, and ensures timely completion of responsibilities in alignment with team and organizational goals.

We are proud to be an equal opportunity employer.