Position Details
About this role
The Medicaid Billing & Credentialing Specialist manages Indiana Medicaid billing, claims, and provider credentialing to ensure compliance and maximize reimbursement.
Key Responsibilities
- Submit and track Medicaid claims
- Manage provider credentialing
- Reconcile billing records
- Research and correct denied claims
- Maintain compliance with Medicaid regulations
Technical Overview
Role involves claims submission via IHCP Portal and Availity, provider credentialing, and maintaining billing records with a focus on Medicaid regulations and portal tools.
Ideal Candidate
The ideal candidate is an experienced healthcare billing specialist with deep knowledge of Indiana Medicaid processes, claims management, and provider credentialing. They should have hands-on experience with Medicaid portals and compliance standards, ensuring accurate reimbursement and regulatory adherence.
Must-Have Skills
Nice-to-Have Skills
Tools & Platforms
Required Skills
Hard Skills
Soft Skills
Industry & Role
Keywords for Your Resume
Deal Breakers
Lack of experience with Indiana Medicaid billing, No knowledge of IHCP or Availity portals, Inability to manage credentialing processes
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