Medicaid Billing Services

Location:

Virginia, USA

Posted on:

Nov 4, 2025

Deadline:

Dec 5, 2025

Summary:

Seeking vendor for web-based Medicaid billing services, including training, claims management, reporting, and technical assistance for Virginia's school-based Medicaid program.

(1) Vendor needs to provide Medicaid billing services. – Provide initial onsite training for the implementation of the new platform. – Medicaid claim filing to include reworking of denied claims. – Provide robust online tracking tools and reporting functionalities. These tools must support flexible customization and filtering capabilities, including but not limited to filtering by provider type, service type, and other relevant categories. • Web–based documentation and claims software with scheduling and case–load management features. • Quality control through documentation review. • Help–desk services • System should be integrated with active directory and/or active directory federation services for authentication and authorization. • Contractor shall perform web–based Medicaid billing reimbursement services • Provide a web–based billing system that is customized and compliant with Virginia's School–based Medicaid program. • Provide a web–based system with sophisticated and/or custom reports on a variety of data points by provider, supervisor, school location, billing status, and services. • Provide Medicaid processing services under the terms and conditions specified in the contract. • Provide Medicaid consultation services which shall consist of technical assistance on Medicaid school–based services policy and procedures. • Technical assistance and training to include on–going electronic training and telephone assistance. • Review of all denied claims received from the state and determine the need for corrective action and resubmission (2) Pre–bid meeting will be held on November 14, 2025.

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The AI Proposal Manager for winning RFPs.

© 2025 Settle Solutions, Inc. All rights reserved.

Made with ❤️ in SF.

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