Colorado Medicaid Billing & A/R Specialist – Historical Reconciliation + Ongoing Management

We are a Colorado nonprofit healthcare provider seeking an experienced Medicaid Billing and Accounts Receivable (A/R) specialist for an ongoing, long-term engagement supporting approximately 125–150 clients. Our Medicaid services include HCBS waiver/PASA services and home health services. Experience billing these service types is strongly preferred. This is not a one-time cleanup project. We are looking for someone to take responsibility for our weekly Medicaid billing and A/R management. The engagement will begin with a review and cleanup of the past several months of billing to ensure accounts are accurate and complete before transitioning into ongoing weekly management. Initial Cleanup & Reconciliation The contractor will: * Reconcile services provided against claims submitted and payments received. * Identify unbilled services, unpaid or underpaid claims, denials, rejections, reversals, and other discrepancies. * Research and resolve outstanding claims. * Correct and resubmit claims as appropriate. * Reconcile Medicaid remittances and payments. * Establish an accurate outstanding A/R balance. * Provide a clear record of findings, corrections, and unresolved items. Ongoing Weekly Responsibilities * Submit weekly Medicaid claims for approximately 125–150 clients through our EHR. * Review claims for accuracy and completeness. * Monitor claim status and payments. * Reconcile remittances and payments. * Manage A/R and outstanding balances. * Resolve denied and rejected claims. * Submit corrected claims and resubmissions. * Follow unpaid and underpaid claims through resolution. * Monitor timely filing. * Provide regular billing and A/R reporting. * Coordinate with our internal team when documentation, authorization, eligibility, or other issues affect billing. Qualifications Direct Medicaid medical billing and A/R experience is required. Colorado Medicaid/Health First Colorado experience is strongly preferred. Experience with HCBS waiver/PASA and home health billing is highly desirable. We need someone who can independently manage the complete Medicaid revenue cycle—from claim submission through payment reconciliation and A/R resolution—not someone whose experience is limited to claim entry. This is intended to be a long-term working relationship. While the initial cleanup may require additional time, ongoing weekly billing and A/R management is currently expected to require less than 8 hours per week. The contractor must maintain appropriate confidentiality and HIPAA-compliant practices when handling protected health and billing information. When applying, please describe your Medicaid billing experience, including any direct experience with Colorado Medicaid/Health First Colorado, HCBS/PASA services, home health, historical billing cleanup, and ongoing Medicaid A/R management.