Medicaid & Accounting Specialist

Company Overview :

Carey Services is a community-based organization which receives strong support from a broad cross-section of individuals, families, businesses and charitable interests. Supports and services are determined through person-centered planning, whereby individuals and their families direct the planning and allocation of resources to meet their own individual life goals.

Job Details :

Wage : $17.50 / Hour, Non-exempt

Hours : Full-time

Schedule : Monday-Friday, 8 : 00am-4 : 30pm

Job Summary and Responsibilities :

The Medicaid & Accounting Specialist is responsible for ensuring accurate and timely submission, auditing, and reconciliation of Medicaid and other third-party billing claims. This position maintains detailed billing records, monitors payment activity, follows up on unpaid or denied claims, and completes billing resubmissions as needed. The specialist works closely with programming, finance, and administrative staff to ensure compliance with Medicaid regulations and agency policies, contributing to the overall financial integrity of Carey Services.

The specialist works with the VP of Finance, assisting in coordination of billing tracking systems, software, and ancillary tracking tools to maximize the effectiveness of those systems and tools to maximize compliant Medicaid billing and collection. With Medicaid billing and collection as the specialist's primary duty, as assigned, the specialist assists the VP of Finance with other assigned duties and tasks to help the Accounting Department to run smoothly (i.e., overall accounting tracking, property leasing and tracking, etc.).

Example Activities :

• Audit service documentation for completeness and compliance prior to billing submission.
• Submit electronic claims through Medicaid portals and track claim status.
• Review remittance advice documentation, identify denials, and process resubmissions as needed.
• Maintain accurate billing logs and support month-end reconciliation processes.
• Follow up with program departments for missing or corrected documentation.
• Prepare reports summarizing billing activity, outstanding claims, and payment trends.
• Assist with preparation and documentation during internal and external billing audits.
• Communicate with Medicaid representatives to resolve payment or eligibility discrepancies.

Occupational Competencies

Foundational Competencies

Requirements

Salary Description

$17.50 / Hour