Medical Biller Specialist

Medical Biller (Medicaid & VA Specialist) Location: Ravenna, OH (On-site) Job Type: Part-Time About the Role We are looking for a detail-oriented and reliable Medical Biller to join our small but growing practice in Canton. This is a critical role that ensures our veterans and community members receive the care they need by managing the full lifecycle of Medicaid and Veteran Affairs (VA) claims. The ideal candidate has a deep understanding of Ohio’s specific Medicaid systems and the unique requirements of VA Community Care billing. Key Responsibilities - Medicaid Claims Management: Submit and track claims via the Ohio PNM/OMES and other payer system portals; monitor for denials and manage the appeals process to ensure timely reimbursement. - VA Invoicing & Billing: Process claims for the VA Community Care Network (CCN); ensure all invoices meet VA-specific documentation requirements and are submitted through the appropriate portals (e.g., TriWest or Optum). - Payment Posting: Accurately post payments from EOBs and ERAs to patient accounts. - Accounts Receivable: Conduct regular follow-ups on unpaid or aged Medicaid and VA accounts (30/60/90 days). - Credentialing Support: Assist with the maintenance of provider credentials for Ohio Medicaid and VA contracts. - Compliance: Maintain strict adherence to HIPAA regulations and stay updated on local Ohio Medicaid policy changes. Qualifications - Experience: Minimum of 1 year in medical billing, with specific experience in Ohio Medicaid and Veteran Affairs billing. - Technical Skills: Proficiency in Excel. Basic Quickbooks experience a plus - Local Knowledge: Familiarity with Ohio-specific billing codes and the OMES portal is highly preferred. - Attention to Detail: High accuracy in entering ICD-10 and CPT codes to minimize denials. - Communication: Ability to professionally communicate with VA representatives and local Medicaid offices to resolve billing discrepancies. Benefits & Perks - Paid time off / Professional development assistance - Minor medical, dental and vision insurance offered - A supportive, small-team environment where your work directly impacts our local community.