Medicaid Billing Specialist Home Care - B G Healthcare Service : Job Details

Benefits:

401(k)

Dental insurance

Health insurance

Paid time off

Full-Time | On-site

BG Healthcare Services is seeking a detail-oriented, proactive Medicaid Billing Specialist to join our home care operations team. This role is ideal for someone with hands-on experience billing Virginia Medicaid and MCOs, who is passionate about accuracy, compliance, and driving revenue integrity for a growing healthcare organization.

What You'll Do:

· Submit claims to Virginia Medicaid and all contracted MCOs (e.g., Aetna, UHC, Anthem, Sentara) for Personal Care Services

· Monitor claim status and resolve denials through timely resubmissions and payer communication

· Track authorizations, units used, and billing limits to avoid under/overutilization

· Manage WAMS and EVV compliance for claims readiness

· Maintain caregiver documentation logs to support billing audits

· Communicate regularly with support coordinators and payer reps to ensure timely reimbursement

· Collaborate with intake and scheduling teams to ensure authorizations and visits are aligned

What We're Looking For:

· 1 - 2+ years of experience in Medicaid billing (preferably in home care, personal care, or home health)

· Strong knowledge of Virginia Medicaid, including MCO claim portals and WAMS

· Experience with EVV systems (HHAeXchange, myEVV, Sandata, etc.)

· Understanding of common denial codes and billing corrections

· Excellent attention to detail and documentation practices

· Comfort working in a small, collaborative office with shared responsibilities

Nice to Have:

· Familiarity with caregiver compliance audits or HR onboarding processes

· Experience supporting intake, plan of care tracking, or Medicaid documentation audits

Compensation & Benefits:

· Competitive hourly rate (commensurate with experience)

· PTO, paid holidays, and health insurance options

· Supportive leadership and opportunity to grow as the agency scales

If you're a Medicaid billing professional who wants to be more than just a cog in the machine — and you're ready to help shape the financial foundation of a mission-driven home care agency — we want to hear from you.