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Medicaid Billing Clerk
Public Partnerships | PPLMedicaid Billing Clerk managing billing operations at Public Partnerships. Ensuring accuracy in claims, appeals, and financial reporting processes.
Posted 7/22/2026full-timeRemote • New York • 🇺🇸 United StatesMid-LevelSenior💰 $25 - $26 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing processes, including claim preparation, reconciliation, and denial management, while ensuring accuracy and compliance with billing standards. Proficient in utilizing medical billing systems and Microsoft Excel for data analysis and reporting.
Highest-signal resume keywords
Medical Billing ExperienceClearinghouse Systems ProficiencyAttention to DetailData Entry AccuracyMedical Billing Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical BillingClaim PreparationDenial ManagementReconciliationDatabase QueriesSpreadsheet AnalysisBilling TerminologyInvoice SubmissionRevenue ReportingBusiness-to-Business Collections
Soft Skills
Organizational SkillsVerbal CommunicationWritten Communication
Tools & Technologies
Clearinghouse SystemsBilling SoftwareMicrosoft Excel
Certifications & Qualifications
Medical Billing CertificationCoding Certification
Industry Keywords
Medicaid BillingReceivable BalancesDenial ResearchRemittance AdvicePayer Portal
About the role
Key responsibilities & impact- Prepare and manage weekly billing activities and invoice submissions.
- Prepare and re-submit corrected claims or invoices as needed.
- Bill payers by inputting billing information into databases.
- Appeal denied claims utilizing clearinghouse or payer portal functionality.
- Reconcile billing activities between clearinghouse and host systems.
- Reconcile payments and perform denial research using database queries and spreadsheet analysis.
- Verify and maintain accurate receivable balances across multiple information systems.
- Prepare reports based on Medicaid billing data and revenue.
- Adjust patient bills by reviewing remittance advice and consulting with management.
- Resolve billing discrepancies by conducting research and correcting errors.
- Perform minimal business-to-business collection activity to maintain low and current receivable balances.
- Follow up on delinquent payer remittances and payments.
- Escalate emerging denial trends and determine root cause analyses.
Requirements
What you’ll need- Minimum of 3 years of experience in medical billing
- Knowledge of medical billing terminology
- Proficiency with medical billing and clearinghouse systems
- Strong attention to detail and organizational skills
- Excellent verbal and written communication skills
- Proficient knowledge of Microsoft Excel
- High level of data entry accuracy and speed
- Related Bachelor’s degree preferred; can be substituted with 1+ years of related experience.
- Certification: Relevant medical billing or coding certification preferred.