Medicaid Billing Specialist Home Care

Job Description

Job Description

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off

Full-Time | On-site

BG Healthcare Services is seeking a detail-oriented, proactive Medicaid Billing Specialist to join our home care operations team. This role is ideal for someone with hands-on experience billing Virginia Medicaid and MCOs, who is passionate about accuracy, compliance, and driving revenue integrity for a growing healthcare organization.

What You'll Do:

Submit claims to Virginia Medicaid and all contracted MCOs (e.g., Aetna, UHC, Anthem, Sentara) for Personal Care Services
Monitor claim status and resolve denials through timely resubmissions and payer communication
Track authorizations, units used, and billing limits to avoid under/overutilization
Manage WAMS and EVV compliance for claims readiness
Maintain caregiver documentation logs to support billing audits
Communicate regularly with support coordinators and payer reps to ensure timely reimbursement
Collaborate with intake and scheduling teams to ensure authorizations and visits are aligned

What We're Looking For:

1 - 2+ years of experience in Medicaid billing (preferably in home care, personal care, or home health)
Strong knowledge of Virginia Medicaid, including MCO claim portals and WAMS
Experience with EVV systems (HHAeXchange, myEVV, Sandata, etc.)
Understanding of common denial codes and billing corrections
Excellent attention to detail and documentation practices
Comfort working in a small, collaborative office with shared responsibilities

Nice to Have:

Familiarity with caregiver compliance audits or HR onboarding processes
Experience supporting intake, plan of care tracking, or Medicaid documentation audits

Compensation & Benefits:

Competitive hourly rate (commensurate with experience)
PTO, paid holidays, and health insurance options
Supportive leadership and opportunity to grow as the agency scales

If youre a Medicaid billing professional who wants to be more than just a cog in the machine and you're ready to help shape the financial foundation of a mission-driven home care agency we want to hear from you.