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Medicaid Billing Manager

Medicaid Billing Manager

Creative Solutions in HealthcareFort Worth, TX, US
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Job Description

Job Description

Join Our Team as a Medicaid Billing Manager

Ensure Accuracy. Optimize Reimbursement. Lead with Excellence.

We are seeking an experienced Medicaid / Managed Medicaid Billing Manager to join our corporate team. This role oversees all aspects of billing and reimbursement related to Medicaid and Managed Medicaid Organizations. Success in this position requires strong leadership, detailed knowledge of Texas Medicaid regulations, and the ability to maximize reimbursement while maintaining compliance.

Your Impact as a Medicaid / Managed Medicaid Billing Manager

In this role, you will :

  • Oversee day-to-day operations of Medicaid and Managed Medicaid billing functions.
  • Ensure accurate and timely claim submission to payers.
  • Monitor claim rejections, denials, underpayments, and overpayments.
  • Maintain billing policies and procedures in compliance with payer regulations.
  • Lead, train, and evaluate billing staff to ensure high performance and productivity.
  • Partner with revenue cycle, compliance, and finance teams to track KPIs and improve collections.
  • Serve as the primary contact for Medicaid audits, inquiries, and appeals.
  • Prepare and present reports on billing performance, collections, and denial trends.
  • Identify and implement process improvements to reduce denials and optimize revenue.

What Makes You a Great Fit

We’re seeking someone who :

  • Holds a Bachelor’s degree in healthcare administration, accounting, business, or related field (preferred).
  • Has 3–5+ years of Long Term Care Medicaid billing experience, including 2+ years in a supervisory or leadership role.
  • Possesses in-depth knowledge of Medicaid and Managed Medicaid regulations (Texas Medicaid required).
  • Is experienced with revenue cycle management, claim submission systems, and EHR / EMR platforms (PCC highly preferred).
  • Brings strong analytical, organizational, and problem-solving skills.
  • Demonstrates excellent communication and leadership abilities.
  • Skills & Competencies

  • Knowledge of payer portals and denial management systems.
  • Ability to train, mentor, and motivate billing staff.
  • Experience managing a large team across multiple locations.
  • Strong attention to detail with a compliance-focused mindset.
  • Proficiency in PCC, Inovalon, and payer portals; familiarity with Simple and Core Care a plus.
  • Benefits (Full-Time)

  • Comprehensive Coverage : Health, Dental, and Vision Insurance
  • Extra Protection : AD&D, Short-Term Disability, Cancer, Critical Illness, and more
  • Life Insurance : Whole and Term Policies
  • Professional Growth : Tuition Reimbursement for continued education
  • Time to Recharge : Paid Time Off
  • Retirement Planning : Immediate 401(k) eligibility
  • Unwavering Support : Exceptional corporate resources and leadership
  • Equal Opportunity Employer

    We are an equal opportunity employer and prohibit discrimination / harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

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    Billing Manager • Fort Worth, TX, US