Medicaid Billing Specialist

ORGANIZATION OVERVIEW: At Catholic Charities of the Archdiocese of Washington, your knowledge and service in areas such as immigrants and refugees, mental health, social work, employment and adult education, legal and financial services, health care, food assistance, shelter and housing, developmental disabilities and prison outreach can make a profound difference in the lives of many. Through more than 50 programs across the district and five surrounding counties, Catholic Charities is opening doors to help and hope. At CCADW, we continue to build an inclusive culture that celebrates a diverse workforce. We offer so much more than just a job. We offer careers. We take pride in our "promote from within" culture. We offer professional development, a comprehensive benefits package, a hybrid work model with both remote and in-office work, and a passion for building and motivating world class, high performing teams. Explore your career opportunity with Catholic Charities. Join us in Inspiring Hope and Building Futures.

Our Benefits:

• Medical, prescriptions, dental and vision insurance

• Retirement savings plan with company match

• Company-paid and supplemental life insurance

• Flexible spending accounts

• Paid vacation, sick and personal leave

• 11 paid holidays

• Professional development and training

• Tuition reimbursement

• Employee referral bonus program

• Flexible work arrangements

• Clinical supervision for licensed social workers and counselors

JOB SUMMARY: The Medicaid Billing Specialist processes the Medicaid insurance claims by entering authorizations into the billing software and researching denied claims for the Fortitude DC/Spring Flats Services within the Homeless and Housing Services Department.

ESSENTIAL DUTIES and RESPONSIBILITIES:

• Enter authorizations into electronic Medicaid billing system using Credible Software.

• Identify and research issues with authorizations.

• Follow up on Batch Claim Error Report and update billing system with corrections.

• Conduct weekly verification of Medicaid numbers for all clients on a weekly basis and report discrepancies with inactive Medicaid numbers.

• Assist Finance Billing personnel with corrections for any claims denied or exceptions not paid due to an error.

• Communicate discrepancies and system issues to Operations Manager.

• Communicate all exceptions identified by Finance Billing personnel to the Operations Manager and assist with resolving.

• Check and report on client service eligibility monthly and record correct information in Credible.

• Enter appropriate Medicaid numbers in Credible software by using the Health Care Finance Medicaid Portal.

• Closeout clients who have been approved for discharge in Credible software and updating the Medicaid eligibility tracker in Share Point.

• Provide support and assistance to the operations Managers and the financial management team.

• Update Productivity Tracker monthly and submit it to Operations Manager by the 5th of every month.

• Perform other job-related duties as assigned.

EDUCATION and EXPERIENCE:

• Associate of Arts degree in Business or Accounting.
• 2 years' experience in medical billing.

SKILLS and COMPETENCIES:

• Ability to prepare complex billings, prioritize assignments, and meet deadlines in a fast-paced environment.

• Knowledge of Credible billing software is preferred.