Medicaid Billing & Accounts Receivable Specialist - Full-time

Medicaid Billing & Accounts Receivable Specialist

Louisiana Medicaid HCBS (PCA Services)
📍 Hybrid (after training) | ⏱ Hourly

Community Connection Programs, Inc. is seeking an experienced Billing & Accounts Receivable Specialist to support Louisiana Medicaid Home and Community Based Services (HCBS) Personal Care Attendant (PCA) programs. This role is responsible for full-cycle Medicaid billing, accounts receivable follow-up, and recovery of outstanding revenue across multiple waiver programs.

This position is ideal for a billing professional who understands Louisiana Medicaid, EVV requirements, and denial resolution—and who is motivated by performance-based growth opportunities.

Pay & Growth Opportunities

• Starting pay: $20–22 per hour, based on experience
• 90-day performance review:
  • Eligibility for a hybrid work schedule
  • Eligibility for a pay increase to $23–25 per hour, based on performance
• Quarterly performance bonuses available based on:
  • Improvement in clean claim rates
  • Reduction in claim denials and recoupments
  • Progress in historical accounts receivable recovery

What You’ll Do

• Submit Medicaid and MCO claims for HCBS PCA services using Medisoft
• Verify EVV compliance in AxisCare prior to billing
• Ensure accurate service codes, modifiers, units, and authorizations
• Review remittance advice (RA/EOBs) and post payments accurately
• Investigate denials and complete corrections, re-bills, and appeals
• Actively follow up on unpaid claims and manage A/R aging
• Assist with cleanup and recovery of historical A/R
• Identify denial trends and recurring billing errors
• Pause billing when EVV, documentation, or authorizations are incomplete
• Collaborate with scheduling, EVV, and care management teams
• Participate in billing and operations check-ins

Programs You’ll Bill

• LT-PCS
• CCW, NOW, ROW
• Children’s Choice
• EPSDT (Fee-for-Service and MCOs)
• SIL, Respite, Supports Waiver

Systems You’ll Use

• Medisoft (billing/clearinghouse)
• AxisCare (EVV)
• LaSRS
• Gainwell and Medicaid MCO portals

What We’re Looking For

Required Qualifications

• Experience billing Louisiana Medicaid (HCBS or PCA preferred)
• Experience working denials, re-billing, and appeals
• Understanding of EVV and authorization-based billing
• Strong attention to detail and organization
• Ability to manage multiple programs and payer requirements

Preferred Qualifications

• Experience with historical A/R cleanup
• Knowledge of Medicaid waiver programs and EPSDT billing
• Experience working across multiple billing systems

Why This Role Matters

This position directly impacts agency revenue, compliance, and service continuity. You will play a key role in improving clean claims, reducing recoupments, and strengthening billing processes that support services for individuals and families across Louisiana.

Apply today if you have Louisiana Medicaid billing experience and are ready for a role with growth, accountability, and flexibility.