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Medicaid Software Jobs in Kentucky (NOW HIRING)

Corbalt

$127 - $166/hr

... software faster, operate more efficiently, and scale with confidence. Our roots trace back to the ... Today, we support critical healthcare modernization efforts at the Centers for Medicare & Medicaid ...

Gofractional

$110 - $152/hr

Senior Technical Product Manager, Medicaid Location: Arlington, VA Type: Contracted Category ... Proven experience as a Product Manager, Business Analyst, or Product Owner on complex software ...

New

CVS Health Corporation

$107 - $284/hr

... multiple software delivery methodologies, including Scrum, SAFe, and Waterfall**Preferred Qualifications*** Experience with Medicaid programs* Agile (e.g., SM, RTE, SPC), PMP, or equivalent ...

HTC Global Services, Inc.

$110 - $155/hr

Experience with ticketing software. * Experience writing standard operating procedures for new ... MMIS #Medicaid #ITOperations #ReleaseManagement #IncidentManagement At HTC Global Services, our ...

New

Humana Inc

Executive Assistant (Medicaid)

Louisville, KY · On-site

$53 - $73/hr

... software. Manage the appointments and schedules of other members of the Medicaid leadership team. Use office equipment such as photocopiers and printers. Additional responsibilities may include ...

Patientco

Software Engineer II

Louisville, KY · On-site

Software development engineers using common development methodologies including Waterfall and Agile ... 5K commercial and Medicaid/Medicare payers. We are deeply committed to living out our ...

Waystar

Software Engineer II

Louisville, KY · On-site

Software development engineers using common development methodologies including Waterfall and Agile ... 5K commercial and Medicaid/Medicare payers. We are deeply committed to living out our ...

Waystar

Software Engineer II

Louisville, KY · On-site

Troubleshoot and debug software issues, identifying root causes and implementing effective ... 5K commercial and Medicaid/Medicare payers. We are deeply committed to living out our ...

Patientco

Software Engineer II

Louisville, KY · On-site

ABOUT THIS POSITION Develop, test, deploy, and maintain software applications and services on the ... 5K commercial and Medicaid/Medicare payers. We are deeply committed to living out our ...

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All JobsMedicaid Software JobsMedicaid Software Jobs in Kentucky

Medicaid Software information

What is Medicaid software?

Medicaid software refers to specialized technology platforms and applications designed to support the administration, management, and delivery of Medicaid health programs. These software systems help state agencies, healthcare providers, and payers manage eligibility, claims processing, member enrollment, reporting, and compliance with federal and state regulations. Medicaid software plays a crucial role in improving efficiency, reducing errors, and ensuring that Medicaid beneficiaries receive appropriate coverage and services. It can include modules for case management, billing, analytics, and provider management. Modern Medicaid software often integrates with other health information systems to facilitate seamless data exchange.

What are some common challenges faced by professionals working with Medicaid software systems?

Professionals working with Medicaid software often encounter challenges such as navigating frequently changing federal and state regulations, integrating new modules with legacy systems, and ensuring data security and privacy in compliance with HIPAA. Additionally, collaborating with diverse stakeholders—including healthcare providers, government agencies, and IT teams—requires strong communication and project management skills. Staying updated with evolving technology standards and maintaining system interoperability are also key aspects of the role.

What are the key skills and qualifications needed to thrive as a Medicaid software specialist, and why are they important?

To thrive as a Medicaid Software Specialist, you need a solid background in healthcare IT, knowledge of Medicaid regulations, and experience with software development or implementation, typically supported by a degree in computer science or health informatics. Familiarity with Medicaid Management Information Systems (MMIS), claims processing tools, and compliance software is essential. Strong analytical skills, attention to detail, and effective communication help bridge the gap between technical teams and healthcare administrators. These skills ensure efficient, compliant, and user-friendly Medicaid systems that support both organizational goals and regulatory requirements.

What is the difference between Medicaid Software vs Medicaid Claims Specialist?

AspectMedicaid SoftwareMedicaid Claims Specialist
Primary RoleSoftware tools used to manage Medicaid data, billing, and complianceProcessing and reviewing Medicaid claims for accuracy and reimbursement
Required SkillsTechnical skills, software proficiency, data managementKnowledge of Medicaid policies, claims processing, attention to detail
Work EnvironmentHealthcare IT companies, software vendors, healthcare providersHealthcare facilities, insurance companies, Medicaid agencies
CertificationsNone typically required, but IT certifications helpfulMedical billing certifications, Medicaid-specific training

Medicaid Software refers to the tools and systems used to manage Medicaid data and billing processes, while Medicaid Claims Specialists focus on processing and verifying Medicaid claims. Both roles are essential in the Medicaid industry but serve different functions—one in software management and the other in claims processing.

What are popular job titles related to Medicaid Software jobs in Kentucky?

For Medicaid Software jobs in Kentucky, the most frequently searched job titles are:

What job categories do people searching Medicaid Software jobs in Kentucky look for?

The top searched job categories for Medicaid Software jobs in Kentucky are:

What cities in Kentucky are hiring for Medicaid Software jobs?

Cities in Kentucky with the most Medicaid Software job openings:

Medicaid Software jobs near you

BILLING SPECIALIST (55057)

LIFESKILLS GROUP

Bowling Green, KY • On-site

$18.03/hr

Full-time

Posted 2 days ago

New

Job description

POSITION SUMMARY:

The Billing Specialist is responsible for the accurate and timely processing of claims. Billing Specialist will maintain AR for assigned payers and report any ongoing issues to Billing Manager. Billing Specialist will be expected to reach out to payers when issues arise.

DUTIES AND RESPONSIBILITIES:

  • Managing payer and patient accounts receivables
  • Working correction tickets for billings before or after payment has been received
  • Submitting claims electronically through Availity Revenue Cycle Management and other clearinghouses
  • Submitting secondary claims through Availity Revenue Cycle Management and preparing and mailing paper claims
  • Making corrections to claims that have been scrubbed for errors in Availity before submitting
  • Working claim denials through CareLogic
  • Calling payers to appeal denials and working closely with payer representatives to correct erroneous denials
  • Answering client questions regarding account balances
  • Data entry
  • Other duties as assigned by the Revenue Cycle Manager or Billing Supervisor

QUALIFICATIONS:

  • High school diploma or equivalent is required
  • Prior experience of 1 – 2 years in claims and billing preferred
  • Billing or administrative experience in the Developmental Disabilities and/or Behavioral Health (Mental Health and Substance Use) field is preferred
  • Microsoft Office/Excel is required
  • Availity, KY Medicaid, software experience is helpful
  • Comprehensive knowledge of ICD-10, CPT, and HCPCS coding

JOB REQUIREMENTS / EXPECTATIONS:

  • Successful candidates must possess good oral and written communication skills as well as the ability to multitask and work efficiently in fast-paced environment. Must pass a legally required Criminal Record Check and a Sexual Offender Registry check.
  • Must be able to work in a group setting with other billing specialists.
  • The applicant hired into this role will be evaluated against company and department goals, objectives, and performance factors annually.

CORE VALUES:

All employees must be willing to live our company's core values.

  • Integrity – Exhibiting the highest moral, ethical and legal standards. Doing the right thing – even when no one else is looking.
  • Teamwork – Putting team success over personal success. Actively valuing the strengths and talents of others.
  • Trust/Respect– Seeing and believing in the good intentions of others. Interacting with others in a way that makes them feel valued. Listening without judging. Offering understanding and acceptance.
  • Care/Compassion – Demonstrating unconditional kindness, concern and empathy. Exhibiting genuine concern for others.
  • Ownership/Accountability – Taking personal responsibility for one’s work, actions and feelings. Accepting responsibility for and learning from mistakes.

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