
Detail-oriented Accounting & Medicaid Billing Specialist with 4 years of experience in healthcare billing, cash posting, payment reconciliation, and compliant Medicaid claim processing. Skilled in ICD‑10 diagnosis coding and HCPCS procedure code familiarity, resolving discrepancies, reviewing documentation for accuracy, and maintaining clean financial records across multiple programs. Experienced in general accounting functions, audits, and high‑volume data entry. Seeking opportunities in billing, accounting, cash posting, revenue cycle, or healthcare finance.
- Process Medicaid billing for multiple OPWDD programs, including DD, Day Habilitation, Prevocational, and ISS, through Foothold.
- Collaborate with billing and finance teams to ensure timely and compliant billing across 10+ programs, enhancing overall financial accuracy.
- Submit institutional claims through eMedNY, resolving claim denials, code mismatches, and documentation errors to ensure accurate reimbursement.
- Enter cash receipts, AR invoices, program fees, and client updates into FundEZ; maintain accurate AR ledgers and general ledger entries.
- Process remittances, reconcile payments, and verify accuracy against Foothold documentation and service notes.
- Prepare weekly billing summaries, cash receipt summaries, and end‑of‑fiscal‑year billing reports for financial tracking and analysis.
- Assist with internal and external audits, providing documentation, billing reports, and financial records.
- Review and correct billing discrepancies caused by missing documentation, late entries, or program errors.
- Maintain organized digital and physical records through scanning, filing, and secure document management.
- Healthcare billing & Medicaid claims
- ICD‑10 diagnosis coding
- HCPCS procedure coding
- Cash posting & payment posting
- Payment reconciliation
- General accounting support
- Invoices & cash receipts
- General ledger entries
- Denial resolution
- Remittance review (ERA/EOB)
- Documentation accuracy
- FundEZ (accounting system)
- Foothold (EHR/billing system)
- eMedNY (Medicaid portal)
- ePACES (claim submission)
- OPWDD CHOICES (program billing)
- Excel (sorting, filtering, formulas)
- HIPAA compliance
- Audit preparation & support