Position Overview
Ultimate Staffing Services is actively seeking a detail-oriented Medicaid Billing & Scheduling Administrator to join a growing healthcare services organization in Aurora, CO. This role is responsible for supporting Medicaid billing operations, authorization management, scheduling coordination, and documentation compliance to ensure accurate reimbursement and efficient service delivery.
Job Duties
- Prepare, review, and submit Medicaid claims accurately and within established deadlines.
- Verify services, authorizations, and documentation to ensure billing accuracy and compliance.
- Monitor claim status, research billing discrepancies, and coordinate corrections or resubmissions as needed.
- Track Medicaid eligibility, authorizations, approved service units, and renewal dates.
- Coordinate scheduling activities to ensure services align with approved authorizations and operational requirements.
- Review attendance, service delivery, and billing records to identify and resolve discrepancies.
- Maintain accurate records and supporting documentation for billing, authorizations, and compliance purposes.
- Assist with reporting, audits, and process improvement initiatives to support operational efficiency and revenue integrity.
- Collaborate with internal teams and external partners to address billing, scheduling, and authorization-related concerns.
- Ensure compliance with Medicaid regulations, HIPAA requirements, and organizational policies.
Qualifications
- 5+ years' experience in Medicaid billing required.
- Strong understanding of Medicaid claims processing, eligibility verification, reimbursement procedures, and billing compliance requirements.
- Experience managing Prior Authorization Requests (PARs), including tracking approved units, authorization periods, renewals, and expirations.
- Ability to identify and resolve billing discrepancies, denied claims, and authorization-related issues.
- Proficiency with Microsoft Office, particularly Excel, and experience working within healthcare billing systems.
- Highly organized with exceptional attention to detail and the ability to manage multiple priorities.
- Strong written and verbal communication skills.
- Experience with Colorado Medicaid, healthcare scheduling, claims management systems, or electronic health records is preferred.
Salary
$55,000-$65,000
Schedule
Monday-Friday 8:00-5:00; In-office*
Benefits
Medical, dental and vision insurance provided; 401k with company match
All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, Los Angeles County Fair Chance Ordinance, and San Francisco Fair Chance Ordinance.