Medicaid EVV and Claims Specialist
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Job Description
Medicaid EVV and claims specialist supporting homecare agencies using AxisCare’s web-based management platform. Resolving billing issues, onboarding enterprise clients, and guiding compliance workflows.
Responsibilities:
- Analyze and resolve issues related to Medicaid EVV submissions, 837 claims, payer rejections, token mismatches, and state or aggregator requirements
- Build and troubleshoot Electronic Service Documentation (ESD) forms using configuration tools and assess downstream impacts of changes
- Serve as an escalation point for complex or unresolved EVV and claims issues
- Liaise between frontline support and internal teams or state aggregators for higher-level problem-solving
- Guide customers through troubleshooting and resolution for state-specific EVV programs
- Monitor Zendesk support queue and respond to client inquiries by phone and email
- Maintain thorough Zendesk documentation and follow up on open tickets
- Escalate bugs and recurring issues to Product or Engineering teams
- Contribute to collaborative troubleshooting
- Create and maintain knowledge base articles and training videos
- Deliver live trainings related to Medicaid workflows and EVV configurations
- Monitor state Medicaid program updates and evolving EVV/claims requirements
- Support onboarding of enterprise-level homecare agencies with complex Medicaid billing and EVV requirements using AxisCare
- Maintain clear client communication and proactively communicate with clients and teammates
Requirements:
- Bachelor’s degree in a relevant field or equivalent work experience preferred
- 2+ years of prior experience in homecare operations, Medicaid billing, or healthcare software support required
- Specific experience handling EVV and claims required
- Deep understanding of Medicaid billing workflows, EVV requirements, and state-specific variations
- Strong problem-solving skills and ability to analyze complex workflows and data sets
- Excellent written and verbal communication skills
- Experience with ticketing systems, CRM platforms, and knowledge base tools
- Highly organized and able to manage multiple priorities in a fast-paced environment
- Ability to work collaboratively in a team and independently when necessary
- Proficiency with the AxisCare user interface
- Knowledge of state-specific EVV programs such as Sandata, Tellus, HHAeXchange, and LaSRS
- Ability to navigate EVV and ESD configuration tools
- Manual dexterity required to use desktop computer and peripherals
- Ability to use software and email to perform job functions
- Ability to conduct camera-on videoconferencing for customer calls
Benefits:
- Competitive salary and comprehensive benefits package
- Medical insurance premiums covered in full for the employee (Medical, Dental and Vision)
- 401K with competitive company matching
- Personal time off, sick leave, and holidays
- Company-provided laptop and other needed computer equipment
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