The Cabinet for Health and Family Services (CHFS) is one of the largest agencies in Kentucky state government, with nearly 6,000 full- and part-time employees located across the Commonwealth focused on improving the lives and health of Kentuckians. The Division of Regulated Child Care (DRCC) is responsible for licensing and certification of child-care providers, as well as residential child caring facilities and child placing agencies. DRCC investigates complaints against these facilities, ensuring that proper regulatory action is in place. This Division plays an intricate part in the health, safety, and welfare of Kentucky's children.

Medicaid/Medicare Services Specialist I

Medical Billing and CodingMedical Billing and CodingFull TimeRemoteTeam 1,001-5,000

Location

United States

Posted

12 days ago

Salary

$39.3K - $58.9K / year

MedicaidMedicareProvider EnrollmentCRMClaims ProcessingHealthcare PolicyRegulatory Compliance

Job Description

Advertisement Closes

3/13/2026 (8:00 PM EDT)

26-01069

Medicaid/Medicare Services Specialist I

Pay Grade 13

Salary

$39,284.88 - $58,927.20 Annually

Employment Type

EXECUTIVE BRANCH | FULL TIME | ELIGIBLE FOR OVERTIME PAY | 18A | 37.5 HR/WK

Click here for more details on state employment.

Hiring Agency

Cabinet for Health & Family Services | Department for Medicaid Services

Location

275 E Main Street
Frankfort, KY 40621 USA

Description

The agency may authorize the selected candidate to telecommute. The agency may terminate or modify the telecommuting arrangement at any time.

The Department for Medicaid Services (DMS) provides health care access for eligible low-income residents of Kentucky including children, families, pregnant women, the aged and the disabled as well as a number of programs and services directed at specific eligibility and medical needs. DMS strives each day to meet the mission of the Cabinet for Health and Family Services to be a diverse and inclusive organization providing programs, services and supports that protect and promote the health and well-being of all Kentuckians and their communities.

The Department for Medicaid Services, Division of Program Integrity is responsible for guarding Medicaid against fraud, waste and abuse of program benefits by providers and members, and compliance with federal and state rules and regulations. The Medicaid/ Medicare Services Specialist I position offers a wide-range of learning opportunities, including networking as this position will work closely with Providers, Managed Care Organizations, Management, and sister-agencies. Seeking a motivated person that will work in a high-volume contact center for the Department for Medicaid Services, Provider Enrollment where identifying customers' needs quickly, clarifying information, and researching every issue is required in order to provide resolutions to issues. To be successful, candidates should be professional, polite, and able to deal with difficult and stressful situations, and able to apply state and federal regulations in decision making.

Learn more about us at: https://chfs.ky.gov/agencies/dms/pages/default.aspx

Responsibilities and Duties:

Provides specialized assistance to Medicaid providers, staff within the Department for Medicaid Services (DMS), and Medicaid Contractors.
Responds to providers and Credentialing Agents inquiries on KY DMS Provider Enrollment eligibility, submission documents, and application status, as well as maintenance required on provider file. Collecting information about caller and provider, verifies in different information systems, and enters information into database. Entering information into Customer Relationship Management (CRM) system to assist with call-tracking and quality assurance.
Provides assistance to providers and government agencies through oral and written response to inquiries.
Requires the ability to work independently and manage time effectively, as well as to work with difficult issues. Implements policy changes as appropriate.
Performs research of state and federal statutes and regulations relative to provider enrollment and remains abreast of all changes to state and federal laws.

The Cabinet for Health and Family Services (CHFS) participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in U.S. CHFS will only use E-Verify once you have accepted a job offer and completed the Form I-9. For more information on E-Verify, or if you believe that CHFS has violated its E-Verify responsibilities, please contact Department of Homeland Security (DHS) at 888-897-7781 or https://www.e-verify.gov/.

Minimum Requirements

EDUCATION: Graduate of a college or university with a bachelor's degree.

EXPERIENCE, TRAINING, OR SKILLS: NONE

Substitute EDUCATION for EXPERIENCE: NONE

Substitute EXPERIENCE for EDUCATION: Experience in Medicaid and/or Medicare program administration, health insurance administration/systems, eligibility systems, health care research, health care planning, health care financial management, health care policy development or human service or health care administration, insurance billing and/or claims will substitute for the required college on a year-for-year basis. Current or prior military experience will substitute for the required college on a year-for-year basis.

SPECIAL REQUIREMENTS (AGE, LICENSURE, REGULATION, ETC.): NONE

Working Conditions

Incumbents working in this job title primarily perform duties in an office setting.

Probationary Period

This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111.

If you have questions about this advertisement, please contact Tiffany Keffer at Tiffany.Keffer@ky.gov or 502-892-9081.

An Equal Opportunity Employer M/F/D

Related Categories

Medical Billing and Coding

Related Job Pages

Remote Full-time Jobs (US)More US Remote Jobs

More Medical Billing and Coding Jobs

Senior Epic HB (Hospital Billing) Analyst

Cedars-Sinai

Make a difference every single day at Cedars-Sinai

Medical Billing and Coding12 days ago

Full TimeRemoteTeam 10,001+H1B No Sponsor

Company Site LinkedIn

The Senior Epic HB (Hospital Billing) Analyst provides sophisticated level design, build and implementation assignments/projects. Based on deep knowledge of application and operational requirements, can translate sophisticated requirement/concepts into functionality. Initiates, f...

View details: Senior Epic HB (Hospital Billing) Analyst

United States

Apply

Supervisor, Test Coordinator and Phlebotomy

Natera

We are a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health.

Medical Billing and Coding12 days ago

Full TimeRemoteTeam 1,001-5,000Since 2004H1B Sponsor

Company Site LinkedIn

The Supervisor for the Test Coordination Team will be responsible for leading and supporting a team of Test Coordinators, ensuring excellence in patient care coordination, phlebotomy services, and administrative operations. This role focuses on day-to-day team management, operati...

View details: Supervisor, Test Coordinator and Phlebotomy

United States

Apply

Inpatient Coder II

CommonSpirit Health

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Medical Billing and Coding12 days ago

Full TimeRemoteTeam 10,001

This is an advanced level coding position that codes and abstracts Inpatient records for data retrieval, analysis, reimbursement and research. Codes and enters diagnostic and procedure codes into a designated coding and abstracting system utilizing the 3M encoder, as appropriate....

View details: Inpatient Coder II

United States

Apply

Medical Biller/ Coder

Diana Health

Diana Health is a network of modern women’s health practices working in partnership with hospitals to reimagine the maternity and women’s healthcare experience. We are restructuring the traditional approach to care to create an experience that is good for patients and good for providers. We do that by combining a tech-enabled, wellness-focused care program that women love with a clinical system that helps us drive continuous quality improvement and ensure work-life balance for our care team. We work with clients across all life stages to empower and support them to live happier, healthier, more fulfilling lives.

Medical Billing and Coding12 days ago

Full TimeRemote

Diana Health is seeking a skilled and detail-oriented Medical Biller / Coder to join our Revenue Cycle team. In this role, you’ll ensure the accurate coding of medical procedures and diagnoses across our diverse range of services including inpatient, outpatient, ambulatory, and...

View details: Medical Biller/ Coder

United States

Apply

Medicaid/Medicare Services Specialist I

Job Description

Related Guides

Related Categories

Related Job Pages

More Medical Billing and Coding Jobs

Senior Epic HB (Hospital Billing) Analyst

Supervisor, Test Coordinator and Phlebotomy

Inpatient Coder II

Medical Biller/ Coder