QA Billing and Administrative Support

Description

Full-Time - Salary $55,000 | Monday–Friday | 8:00 AM – 4:00 PM | Medicaid Billing | Quality Assurance | IDD Services | DDD

About Our House, Inc.

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 You’ll 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

• Bachelor’s degree in a related field required 
• Minimum of 2–3 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

Requirements

 

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 auth