Medicaid Unskilled Home Care Biller

  Vibrant is searching for a Service Coordinator who understands the importance of meeting our client's needs and allowing them to Be Home...Be Well...and Be Happy!!  

 Position:  Medicaid Unskilled Home Care Biller 

 Hours:  Monday through Thursday 8AM - 5PM, Fridays 8 AM - Noon or 5 PM (explained during interview).  

Benefits:

• 401K with Company Match
• Vision and Dental Insurance
• Voluntary Benefits
• Accrued PTO
• Paid Sick Leave
• Four Hour Work Day on Fridays
• Wellness Reimbursement
• On Demand Daily Pay
• Paid Holidays
• Growth Opportunities
• Company Sponsored Outings

Job Summary 

We are seeking an experienced Medicaid Unskilled Home Care Biller to manage billing for Iowa Medicaid home care services. This role is responsible for accurate claim submission, compliance with Iowa Medicaid Enterprise (IME) requirements, and timely resolution of denials. Experience with HCBS waiver programs and EVV is strongly preferred. 

Responsibilities 

• Prepare, submit, and track Medicaid claims for Iowa unskilled home care services 
• Bill services under Iowa Medicaid HCBS waiver programs (e.g., Elderly, Ill & Disabled, Health & Disability, Brain Injury) 
• Verify Medicaid eligibility, prior authorizations, service units, and limits 
• Review and reconcile caregiver timesheets and EVV data for accuracy and compliance 
• Ensure billed services align with approved care plans and authorizations 
• Manage authorizations and update PMS 
• Research, correct, and resubmit denied or rejected claims 
• Submit claim corrections and appeals within IME and MCO deadlines 
• Communicate with Iowa Medicaid Enterprise (IME) and Medicaid Managed Care Organizations (Wellpoint, Molina, Iowa Total Care, etc.) 
• Maintain accurate billing documentation for audits and compliance reviews 
• Assist with IME audits, recoupments, and payer requests 

Required Qualifications 

• High school diploma or equivalent (Associate’s degree preferred) 
• 1–3 years of Medicaid billing experience, preferably in home care or HCBS 
• Working knowledge of Iowa Medicaid billing rules 
• Experience with EVV systems and Medicaid billing portals 
• Strong attention to detail and organizational skills 
• Proficiency with billing software and Microsoft Excel 
• Ability to manage deadlines and multiple priorities 

Preferred Qualifications 

• Direct experience billing Iowa Medicaid HCBS services 
• Familiarity with IME policies, waiver billing, and unit-based services 
• Experience with Medicaid Managed Care billing and appeals 
• Knowledge of HIPAA and healthcare compliance requirements 

Skills & Competencies 

• Strong problem-solving and analytical skills 
• Clear written and verbal communication 
• Ability to work independently and collaboratively 
• Professional handling of confidential information