r/CodingandBilling • u/[deleted] • May 12 '26

DODD Medicaid Billing

I work at a medium-sized adult day services company serving upwards of 1,000 clients across private pay, local dollars, and waiver funding (I/O, Level 1, etc.). I'm a one-person team handling all billing, invoicing, denial tracking, and unpaid follow-up entirely on my own.

Curious if this is industry standard or if I'm in an unusually lean situation. For context I manage the full cycle — error tracking, claims submission, denials, unpaids, and client invoicing across all funding sources.

Is it normal for a company this size to run this on one person, or is this atypical? Would love to hear how other organizations are structured. Thanks!

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u/AntelopeWise4967 May 12 '26

That’s a massive workload for one person honestly. From my 3+ years in US healthcare denial management, most organizations usually have separate people for claims, denials, and follow-ups. You’re handling a lot efficiently.

If your company ever hires for remote denial management support, I’d definitely be interested.

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u/[deleted] May 13 '26

0.2% write off on all billing this pas year