Job Description

Location: Onsite – Hazelwood, MO

Reports To: Director of Programs

Schedule: Full-Time | Monday–Friday | Rotating On-Call Weekends

Pay Range: $17.50 – $22.00 per hour , depending on experience and qualifications

About Circle of Care St. Louis:

Circle of Care St. Louis is a nonprofit organization dedicated to helping older adults and adults with disabilities maintain independence through quality, compassionate care. We provide community-based services, including Personal Care and Consumer Directed Services (PCS/CDS), across the St. Louis region. We are currently seeking a Medical Billing & EVV Specialist who is highly organized, detail-oriented, and passionate about problem-solving in a healthcare setting.

Position Overview:

This role is responsible for managing Medicaid billing and Electronic Visit Verification (EVV) using Caresmartz 360 , ensuring all services are documented, billed, and reconciled accurately. The Medical Billing & EVV Specialist will set up and maintain caregiver schedules, resolve documentation issues, and support field staff with technical and billing-related questions.

Key Responsibilities:

EVV Oversight & Caregiver Scheduling

• Manage and monitor EVV entries using Caresmartz 360
• Set up and maintain caregiver schedules in alignment with client authorizations and care plans
• Contact caregivers to resolve clock-in/out issues and incomplete documentation
• Provide onboarding and training support on EVV use and expectations
• Track missed visits and ensure all exceptions are documented properly

Medicaid Billing & Claims Processing

• Submit clean, accurate claims via Emomed and other Medicaid payer portals
• Follow up on claim denials, correct and resubmit as needed
• Reconcile remittance reports and apply payments correctly
• Maintain audit-ready records in compliance with state regulations
• Collaborate with the Director of Programs and the Finance & Operations Manager to ensure billing aligns with service plans

Rotating Weekend On-Call

• Participate in a rotating weekend on-call schedule
• Weekend availability is limited to remote response only (phone/system access)
• Additional compensation is provided for on-call weekends

Qualifications:

• Minimum 2 years of Medicaid billing experience (PCS/CDS preferred)
• Proficient in Caresmartz 360 , Emomed , and Microsoft Excel
• Exceptional attention to detail, organization, and follow-through
• Ability to manage multiple deadlines in a fast-paced environment
• Strong written and verbal communication skills
• Experience supporting or coordinating home care workers is a plus

Compensation & Benefits:

• Pay Range: $17.50 – $22.00 per hour, based on experience
• Monthly performance bonus for billing accuracy
• Paid Time Off and Holidays
• Medical insurance available through the Marketplace
• Dental, Vision, and Life Insurance through company plans
• Professional development opportunities
• Monday–Friday schedule with rotating weekend on-call

To Apply:

Please submit your résumé directly through Homebase.

In addition, email the following to [email protected] :

• A brief cover letter
• Two professional letters of recommendation

Email subject line must include the job title: "Medical Billing & EVV Specialist"

Applications without the required email documents will not be reviewed.

Only applicants with relevant Medicaid billing and EVV experience will be considered .

Circle of Care St. Louis is an equal opportunity employer.

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