<p>Our client is seeking an experienced <strong>Medicaid Compliance Specialist</strong> to join their healthcare team. This role focuses on Medicaid billing operations, compliance audits, and reimbursement optimization, with an emphasis on Brightree software. The ideal candidate will bring strong expertise in Medicaid billing processes, cash applications, adjudications, denials, and write-offs, ensuring compliance and operational efficiency across programs.</p><p><br></p><p><strong>Key Responsibilities</strong></p><ul><li>Process Medicaid billing using <strong>Brightree software</strong>, including cash applications, denials, adjudications, and write-offs.</li><li>Conduct internal and external Medicaid audits to ensure accuracy, compliance, and optimized reimbursement.</li><li>Develop and maintain systems for tracking administrative reviews, compliance metrics, and corrective action plans.</li><li>Ensure adherence to state contracts, Medicaid regulations, and accreditation standards.</li><li>Support standardized program practices and organizational compliance initiatives.</li><li>Prepare performance and compliance reports for leadership.</li><li>Lead or assist in special projects related to compliance, budgeting, and staffing as needed.</li></ul><p><br></p>

<p><strong>Qualifications</strong></p><ul><li><strong>Experience in Medicaid billing and compliance is required.</strong></li><li>Proficiency in <strong>Brightree software</strong> strongly preferred.</li><li>Solid knowledge of Medicaid adjudications, denials, write-offs, and cash applications.</li><li>Strong organizational skills and the ability to evaluate compliance processes.</li><li>Experience in healthcare, social services, or human services programs preferred.</li></ul><p><br></p>

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