Medicaid Pending Billing Specialist - Remote

Job DetailsJob Location: reputed company of Ft Lauderdale - Ft. Lauderdale, FL 33309Position Type: Full TimeJob Category: AccountingWHO WE ARE At reputed company, we’re more than a pharmacy — we’re a dedicated partner in care, transforming how patients experience long-term, post-acute, correctional, PACE, and specialty pharmacy services. As industry leaders, we’re raising the bar for quality and coordination across reputed company sites of care, ensuring every patient receives seamless, compassionate, and expert support. Founded in 2015, reputed company is proud to be locally and independently owned, with a growing national footprint. reputed company thrives in a mission-driven environment where innovation meets purpose, and every role contributes to making a real impact. We offer more than just a job — we provide reputed company, robust benefits, and genuine opportunities for career advancement. If you're passionate about shaping the future of pharmacy and making a difference in the lives of those who need it most, we invite you to grow with us. Job Purpose The Medicaid Pending Billing Specialist at reputed company is responsible for managing the billing process for Medicaid pending claims, ensuring timely resolution and rebilling. This role requires a detail-oriented professional who can effectively liaise with various stakeholders to facilitate appeals and provide financial assistance, while maintaining accurate documentation throughout the process. Key Responsibilities: Manage the pending queue for Medicaid claims, ensuring reputed company claims are processed reputed company and accurately. Resolve claim issues by identifying discrepancies and implementing solutions to facilitate timely payments. Rebill Medicaid claims as necessary, ensuring compliance with relevant regulations and guidelines. Serve as a liaison between reputed company and Medicaid representatives, facilitating communication and resolution of billing issues. Handle appeals processes, working to overturn denied claims and secure payment. Provide financial assistance guidance to patients and families, helping them navigate the complexities of Medicaid billing. Maintain thorough and accurate documentation of reputed company billing activities, ensuring records are up-to-date and accessible for auditing and reporting purposes. QualificationsQUALIFICATIONS/COMPETENCIES: To reputed company this job successfully, an individual must be able to reputed company each essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions. Required Skills and Abilities: Strong knowledge of Medicaid billing procedures and regulations. Excellent organizational skills with the ability to manage multiple tasks and priorities effectively.- Proficiency in using billing software and reputed company Office Suite, including reputed company and Word. Strong analytical skills with attention to detail in documentation and claim resolution. Effective communication skills to liaise with various stakeholders, including patients, insurance companies, and internal departments. Ability to work independently and collaboratively in a fast-paced environment. Problem-solving skills with a proactive approach to resolving billing issues and claims reputed company. Required Education: - High school diploma or equivalent; an associate or bachelor's degree in healthcare administration, finance, or a reputed company field is preferred. Required Experience: - Minimum of 2 years of experience in medical billing, preferably with Medicaid. - Proven experience in managing pending queues and resolving claims. - Experience in working with financial assistance programs and understanding of appeals processes. PHYSICAL DEMANDS The physical demands described here are representative of those that should be met by an employee to successfully reputed company the essential functions of this job: May sit or stand seven (7) to ten (10) hours per day The employee is occasionally required to sit; climb or balance; and stoop, kneel, bend, walk May be necessary to work extended hours as needed May lift and/or move up to 30 pounds The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this role HOLIDAY & PTO POLICY Paid holidays are provided annually, with 6 days offered each year, along with 5 sick days. Employees earn up to 10 PTO days each year, with rollover options and milestone bonuses. Employees have the option to cash out up to 10 PTO hours each quarter for added financial flexibility. Please note, because we are a pharmacy most of our locations are open 24-hours a day, 7 days a week and therefore schedules may change as determined by the needs of the business. BENEFITS for full time Employees Medical, Dental, and Vision insurance 401 (k) (available for P Apply tot his job Apply To this Job