Medicaid Billing Specialist — Remote (US Shift)

Zentora Global is hiring a Medicaid Billing Specialist to manage end-to-end billing and revenue cycle operations for US healthcare clients. This is a fully remote position working US business hours.

You'll own claims from submission through payment — making sure they go out clean, denials get worked fast, and accounts receivable stays current. If you know Medicaid billing well and like owning a process rather than just processing tickets, this is a good fit.

Shift & Schedule

• Timings: 5:00 PM – 2:00 AM IST (aligns with approx. 7:30 AM – 4:30 PM US Eastern Time)
• Days: Monday to Friday
• Weekly off: Saturday and Sunday — fixed
• Location: Remote (work from home, India)

What You'll Do

• Prepare, review, and submit Medicaid claims (CMS-1500) through clearinghouses and payer portals
• Verify patient eligibility, benefits, and coverage before services are billed
• Manage prior authorizations and track authorization limits
• Post payments, ERAs, and EOBs; reconcile against expected reimbursement
• Work rejections and denials — identify root cause, correct, appeal, and resubmit within payer timelines
• Run AR follow-up and aging reports; escalate stalled claims
• Apply correct CPT, HCPCS, ICD-10, and modifier combinations
• Maintain accurate billing records and produce regular reporting for clients and management
• Keep all work HIPAA-compliant and audit-ready

What You Need

• 2+ years of hands-on US Medicaid billing experience (this is required — please don't apply with general accounting or non-US billing experience only)
• Working knowledge of the full revenue cycle: eligibility → authorization → claim → denial → AR → payment
• Solid grasp of CPT, HCPCS, ICD-10 coding and modifier usage
• Experience with clearinghouses and payer portals (Availity, Office Ally, Waystar, or similar)
• Comfortable with Excel / Google Sheets for reconciliation and reporting
• Strong written English — you'll communicate directly with US-based teams
• Reliable high-speed internet and a quiet, dedicated work-from-home setup

Added Advantage

• QuickBooks experience (Online or Desktop)
• ADP experience (payroll and workforce management)
• Experience with state-specific Medicaid programs or managed care organizations
• Behavioral health, home health, or therapy billing background
• Familiarity with EHR/practice management systems (Kareo, AdvancedMD, eClinicalWorks, TherapyNotes, or similar)
• Medical billing certification (CPB, CPC, or equivalent)

What We Offer

• Fully remote, permanent work-from-home
• Fixed weekends off — no rotational shifts
• Direct exposure to US healthcare clients and ownership of your own book of work

Pay: ₹15,000.00 - ₹25,000.00 per month

Work Location: Remote