[Hiring] Medicaid Billing Clerk @Public Partnerships | PPL

Role Description

The Medicaid Billing Clerk serves as a trusted resource for managing the revenue cycle operations that are critical to ensuring strong organizational cash flow, low denial rates, efficient denial root cause analysis, and mitigation of bad debt outcomes. This role optimizes various external and internal platforms to enhance bottom-line results and directly supports the Revenue Cycle Management Team in maintaining payer-specific revenue cycle success.

Key Responsibilities

• Billing Operations & Claims Management
  • Prepare and manage weekly billing activities and invoice submissions.
  • Prepare and re-submit corrected claims or invoices as needed.
  • Bill payers by inputting billing information into databases.
  • Appeal denied claims utilizing clearinghouse or payer portal functionality.
• Reconciliation, Reporting & Revenue Accuracy
  • Reconcile billing activities between clearinghouse and host systems.
  • Reconcile payments and perform denial research using database queries and spreadsheet analysis.
  • Verify and maintain accurate receivable balances across multiple information systems.
  • Prepare reports based on Medicaid billing data and revenue.
  • Adjust patient bills by reviewing remittance advice and consulting with management.
  • Resolve billing discrepancies by conducting research and correcting errors.
• Collections, Denials & Payment Resolution
  • Perform minimal business-to-business collection activity to maintain low and current receivable balances.
  • Follow up on delinquent payer remittances and payments.
  • Escalate emerging denial trends and determine root cause analyses.

Qualifications

• Education: Related Bachelor’s degree preferred; can be substituted with 1+ years of related experience.
• Experience: Minimum of 3 years of experience in medical billing; experience in self-directed work environments a plus.
• Certification: Relevant medical billing or coding certification preferred.

Requirements

• Knowledge of medical billing terminology.
• Proficiency with medical billing and clearinghouse systems.
• Strong attention to detail and organizational skills.
• Excellent verbal and written communication skills.
• Proficient knowledge of Microsoft Excel.
• High level of data entry accuracy and speed.

Benefits

• If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!