Insurance Biller Medicaid - Full Time Parsons

About the role

The Medicaid Insurance Biller will be responsible for accurate and timely billing and follow-up of Medicaid claims, helping ensure appropriate reimbursement for services provided. The ideal candidate will have strong organizational skills, excellent communication abilities, and a thorough understanding of medical billing processes.

Responsibilities

• Prepare and submit Medicaid claims accurately and timely.
• Review claims for accuracy and required documentation prior to submission.
• Monitor unpaid, denied, and rejected claims and complete necessary follow-up.
• Research claim issues and work to resolve billing discrepancies and denials.
• Maintain knowledge of Medicaid billing requirements, regulations, and payer guidelines.
• Communicate with Medicaid representatives, patients, and internal departments to resolve account issues.
• Review patient accounts to identify additional information needed for claim processing.
• Document billing and follow-up activity accurately within the patient accounting system.
• Assist with other Business Office functions as needed.

Requirements

• High school diploma or equivalent required; associate’s degree or certification in Medical Billing preferred.
• Minimum of 2 years of experience in hospital billing or a related healthcare insurance role preferred.
• Knowledge of medical terminology, procedures, and diagnosis coding (ICD-10).
• Proficiency in using electronic medical records (EMR) and healthcare billing software (e.g., Meditech).
• Strong understanding of insurance procedures and medical billing compliance.