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QA Billing and Administrative Support
Our House Inc
- United States
- United States
Über
At Our House, Inc., our mission is to provide healthy, stimulating, and inclusive environments for individuals with intellectual and developmental disabilities (IDD). Through residential, day, and community-based services, we support individuals in building independence, stability, and meaningful lives. Our Quality Assurance and Systems teams are responsible for ensuring
Medicaid billing accuracy, audit readiness, and compliance with New Jersey Division of Developmental Disabilities (DDD) and Office of Licensing standards . This position is ideal for candidates currently working in
IDD, behavioral health, or human services organizations
who have experience with
Medicaid billing, ISP documentation, audits, and incident management systems . Position Summary (Medicaid Billing Specialist | QA | Compliance | IDD | DDD Services)
The Billing and Administrative Support Specialist supports the Systems Manager and QA team by ensuring
accurate Medicaid billing, pre-billing audits, and compliance with DDD and Office of Licensing standards . This role is responsible for
weekly audit cycles, Medicaid billing submission, ISP and Service Detail Report validation, and maintaining compliance across electronic systems such as iRecord and myEvolv . This position also supports
Unusual Incident Reporting (UIR) and investigations , making it ideal for candidates with experience in
incident management, QA review, or compliance coordination within IDD services . This is a
high-accountability role
where accuracy, timelines, and regulatory compliance directly impact funding and program operations. What Youll Gain
A Career with Purpose Opportunity to work in a
mission-driven IDD organization Direct involvement in
Medicaid billing, audits, and compliance operations Exposure to
DDD regulations, QA processes, and licensing standards Career growth in
quality assurance, compliance, and healthcare administration Required Schedule
Full-Time: Monday through Friday Standard daytime hours aligned with billing and audit cycles Employee Benefits
Our House, Inc. offers competitive salaries and a comprehensive benefits package, including: Full-Time Benefits Include: Medical, prescription, dental, and vision insurance Life & Accidental Death insurance Generous paid time off (vacation, personal, and sick time) Full-Time & Part-Time Benefits Include: Sick paid time off Employee Assistance Plan (EAP) Flexible Spending Account (FSA) Matching 401(k) retirement plan Pet insurance Legal shield Supplemental Insurance plans Tuition Assistance Public Service Student Loan Forgiveness Qualifications
Bachelors degree in a
related field required Minimum of
23 years of experience in Medicaid billing, QA, compliance, or administrative operations
within
IDD, behavioral health, or human services Working knowledge of
NJ DDD regulations, Office of Licensing standards, and Medicaid billing requirements Experience with
EHR systems such as iRecord, myEvolv, Therap, or similar platforms Strong understanding of:
Individual Service Plans (ISPs) Service Detail Reports (SDRs) Authorization tracking and service validation
Experience supporting or participating in
incident management (UIR) processes
preferred Strong attention to detail with the ability to
identify discrepancies and ensure audit readiness Ability to manage
weekly deadlines, billing cycles, and multiple priorities Proficiency in
Microsoft Office (Excel, Word, Outlook) Ability to maintain
strict confidentiality and professionalism Medicaid Billing & Pre-Billing Audits
Conduct
weekly Medicaid pre-billing audits
to ensure services meet DDD and Medicaid requirements Complete Medicaid billing submissions in alignment with QA timelines Identify and resolve discrepancies related to authorizations, service delivery, and documentation ISP, SDR & Documentation Management
Review and validate
Individual Service Plans (ISPs), Service Detail Reports (SDRs), and authorizations Ensure all required documentation is
accurate, complete, and audit-ready Maintain data integrity across
iRecord, myEvolv, or similar systems Incident Management (UIR)
Serve as
secondary UIR investigator
when needed Assist with incident investigations, documentation, and follow-up reporting Support compliance with
DDD incident reporting requirements and timelines Maintain integrity of the investigatory process and documentation standards Compliance & Quality Assurance
Ensure adherence to
OHI policies, Medicaid regulations, and NJ DDD Manual of Standards Support internal audits and quality assurance reviews Maintain compliance across all billing, documentation, and reporting processes Collaboration & Cross-Functional Support
Work closely with program leadership, QA, and administrative teams Communicate documentation gaps or compliance issues to appropriate staff Support program teams in maintaining accurate and timely documentation Travel Requirements
Approximately
60% travel
to program sites, trainings, and related activities Equal Opportunity Employer
Our House, Inc. is an Equal Opportunity Employer committed to diversity, equity, and inclusion. All qualified applicants will receive consideration without regard to protected characteristics. Employment Disclosure
This job description does not constitute a contract. Duties and requirements may change at the discretion of Our House, Inc. Employment is at-will. Compensation details:
55000-55000 Yearly Salary PIecda267f1c39-26289-40487109
Sprachkenntnisse
- English
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