Medicaid & MCE Billing

• Verify client eligibility using the Indiana Medicaid Eligibility Verification System

• Review service documentation for completeness and billing compliance prior to claim submission

• Ensure billing aligns with Indiana Health Coverage Programs (IHCP) guidelines and includes appropriate CPT/HCPCS codes for home visiting, doula, and behavioral health services

• Submit accurate and timely claims to Indiana Medicaid and MCEs

• Monitor claim status via CoreMMIS and payer-specific portals; follow up on denials, rejections, and unpaid claims

• Monitor denial and rejection trends; identify root causes and work with internal teams or MCE representatives to resolve issues promptly

• Maintain accurate billing documentation for internal records and potential audits

• Collaborate with third-party provider enrollment partner to ensure timely updates and accuracy of provider records for billing eligibility

• Coordinate with internal providers to resolve billing discrepancies

• Work closely with the Chief Financial and Operations Officer to reconcile Medicaid payments, track outstanding claims, and support revenue accuracy

• Assist with monthly billing reconciliation and financial reporting

• Generate and maintain billing reports to track claims submitted, payments received, denials, and outstanding balances to support organizational financial planning

• Stay informed on updates to IHCP policies, MCE requirements, and Medicaid billing protocols to ensure ongoing compliance

Office Management Support (Back-Up Duties):

• Provide front desk coverage and phone support as needed

• Assist with general administrative tasks including data entry, appointment scheduling, document management, and ordering supplies

• Support continuity of office operations in the Office Manager’s absence

• High school diploma or equivalent required

• Associate’s degree or certificate in medical billing, healthcare administration, or a related field preferred

• 1–2 years of Medicaid billing experience required, ideally with Indiana Medicaid and Managed Care Entities (MCEs)

• Experience using EPIC or similar electronic health record (EHR) systems required

• Working knowledge of CoreMMIS, IHCP billing policies, and Indiana Medicaid managed care processes

• Strong attention to detail with a high level of accuracy in billing and data entry

• Proficiency in Microsoft Office Suite and electronic billing systems

• Strong organizational and time management skills

• Ability to work independently and collaboratively in a mission-driven nonprofit setting

• Excellent verbal and written communication skills

• Commitment to supporting families and promoting health equity in the community