Job Summary Medicaid Billing and Accounts Receivable Specialist Non-Emergency Medical Transportation (NEMT) Position focus: Medicaid billing, facility accounts, payment reconciliation, claims resolution, and persistent professional follow-up. Position Summary JET Transportation is seeking an experienced Medicaid Billing and Accounts Receivable Specialist to manage billing, payment reconciliation, outstanding claims, facility accounts, and collection follow-up for non-emergency medical transportation services. This is not primarily a medical-coding position. Service and billing codes are generally established before the account reaches this position. The successful candidate should be able to read and understand common billing codes well enough to identify inconsistencies, missing information, or potential billing problems. The ideal candidate has direct experience working with Medicaid, managed-care organizations, healthcare facilities, or medical accounts receivable. This position requires a persistent, assertive, organized, and professional approach to obtaining payment and resolving outstanding accounts. The position may initially involve limited or part-time hours, with the potential for additional responsibilities and hours as company needs develop. Primary Responsibilities Prepare, review, and submit Medicaid, managed-care, facility, broker, and private-pay billing. Verify that required transportation records and supporting documentation are present before billing. Review trip records, authorizations, mileage, service information, rates, and billing details for accuracy. Monitor submitted claims and facility invoices through final resolution. Maintain and regularly review accounts-receivable aging reports. Establish a documented next action and follow-up date for every unresolved balance. Investigate unpaid, underpaid, rejected, or denied claims and correct or resubmit claims when appropriate. Obtain missing information or documentation from facilities, operations personnel, brokers, or other responsible parties. Follow up consistently by telephone, email, billing portal, or other approved method. Communicate directly and professionally with nursing facilities, medical facilities, Medicaid representatives, managed-care organizations, transportation brokers, and private-pay customers. Record every significant contact, response, correction, commitment, and next action. Reconcile payments against submitted claims, invoices, transportation records, and expected amounts. Identify discrepancies involving rates, authorizations, service dates, destinations, mileage, passenger eligibility, or supporting documentation. Escalate unresolved claims, repeated facility-payment problems, contractual discrepancies, and approaching appeal deadlines to management. Assist with preparing documentation for claim reconsiderations, appeals, audits, and account reviews. Protect patient, client, financial, and company information in accordance with HIPAA and company policy. Produce periodic reports showing billed services, payments received, outstanding balances, denials, corrections, and follow-up status. Coordinate with operations and office management to improve documentation and reduce preventable billing delays. Required Qualifications Previous experience with Medicaid billing, healthcare accounts receivable, medical billing, or a closely related field. Experience communicating with healthcare facilities regarding billing, documentation, or outstanding accounts. Demonstrated ability to investigate and resolve unpaid or denied claims. Strong accounts-receivable follow-up and collection skills. Ability to read and interpret existing billing codes, payment explanations, denial information, and supporting records. Strong organizational skills, attention to detail, and ability to manage multiple follow-up deadlines. Professional written and telephone communication skills. Proficiency with spreadsheets, email, online portals, and electronic record systems. Ability to protect confidential and HIPAA-regulated information. Preferred Qualifications Experience with Ohio Medicaid and Medicaid managed-care plans. Non-emergency medical transportation billing experience. Experience billing nursing homes, assisted-living facilities, rehabilitation facilities, or other institutional clients. Experience working with transportation brokers. Familiarity with trip logs, mileage records, prior authorizations, transportation documentation, and per-leg billing. Experience with denial management, reconsiderations, or appeals. Experience with QuickBooks or comparable accounting software. Familiarity with RouteGenie, RouteView, or similar transportation-management software. Desired Professional Characteristics The successful candidate should be: Persistent in following accounts through final resolution. Assertive while remaining courteous and professional. Comfortable making repeated follow-up calls and asking direct questions. Able to obtain definite answers, commitments, and follow-up dates. Unwilling to allow unresolved balances to disappear into an aging report. Capable of distinguishing between claims requiring correction, additional documentation, appeal, escalation, or collection. Self-directed and able to organize work without constant supervision. Comfortable identifying problems and bringing proposed solutions to management. Dependable, accurate, and consistent with documentation. Performance Expectations Performance will be evaluated based on: Accuracy and timeliness of billing. Reduction of preventable claim errors. Timely follow-up on outstanding balances. Quality of account documentation. Successful resolution of denied, delayed, or underpaid claims. Accuracy of payment posting and reconciliation. Compliance with HIPAA and company confidentiality requirements. Professional communication with facilities, payers, brokers, customers, and company personnel.

Pay:

From $15.50 per hour Expected hours: 5.0 - 20.0 per week

Benefits:

Flexible schedule

Work Location:

In person