Medicaid Billing Specialist

About the Opportunity

We are a fast-growing healthcare organization redefining how Medicaid services are delivered across multiple states. We are looking for a driven, entrepreneurially minded Billing Specialist who thrives in environments where the work is meaningful, the pace is energetic, and no two days look exactly the same. If you have ever wanted your billing expertise to actually move the needle, this is that seat.

Compensation – $25.00-35.00 per hour

About the Role

As our Medicaid Billing Specialist, you will be the engine behind clean claims, faster reimbursements, and a revenue cycle that actually runs. You will work directly with clinical teams, payers, and leadership with real visibility and real impact. This is not a back-office job—your work shapes how we grow.

What You Will Do

• Submit and manage Medicaid claims electronically and on paper
• Verify patient eligibility and benefits prior to service
• Investigate, appeal, and resolve denials and rejections
• Post EOBs, reconcile payments, and manage the reimbursement process
• Identify billing trends and proactively flag process improvements
• Collaborate with clinical staff to ensure accurate documentation and coding
• Stay current on Medicaid policy changes and payer updates across programs
• Support audits, compliance reviews, and reporting requests

What We Are Looking For

• 2+ years of Medicaid billing experience (required)
• Working knowledge of ICD-10, CPT, and HCPCS coding
• Experience with ERA/EFT, clearinghouses, and EHR/PM systems
• General knowledge of Medicaid programs nationwide; familiarity with California Medi-Cal a plus
• CPC, CPB, or CBCS certification a plus (not required)
• Comfortable working in ambiguity—you build the plane while flying it
• Self-starter who spots a gap and fills it without being asked
• Excellent attention to detail with a bias toward action

The Entrepreneurial Edge We Are Hiring For

• You treat every denial like a puzzle worth solving, not a task to hand off
• You are energized by building systems, not just maintaining them
• Growth-stage organizations excite you—you want to shape how things work, not just follow SOPs
• You are comfortable raising your hand when something looks off and proposing a fix
• You communicate clearly across teams, whether talking to a clinician or the CFO

Background and Education

• High school diploma required; associate's or bachelor's degree in health administration, business, accounting, or a related field preferred
• Experience billing for behavioral health, FQHC, home health, or community health preferred
• Knowledge of Medicaid managed care plans across multiple states is a strong plus; California Medi-Cal experience is a bonus
• Background in revenue cycle, medical office administration, health information management, or accounting
• Accounting or finance coursework, bookkeeping experience, or comfort with reconciliations and financial reporting is a differentiator

Location: Fully Remote (U.S.-based)
Schedule: Monday–Friday