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Baptist Hospitals of Southeast Texas · 2 months ago

Medicaid Specialist - Business Office - Days

Beaumont, TX

Full-time

Onsite

Entry Level

1+ years exp

Baptist Hospitals of Southeast Texas is seeking a Medicaid Specialist to join their team. The role involves ensuring timely and accurate billing of Medicaid claims, processing appeals, and resolving any issues related to claims. The specialist will review and correct claims, monitor accounts, and ensure compliance with federal guidelines.

Health CareHospitality

Responsibilities

Reviews and corrects all Medicaid final and interim billed claims daily for accurate billing within guidelines and notify management of any issues for review and resolution

Works remittance reports from Medicaid to identify errors, denials, recoupments, incorrect payments, etc. and obtains the necessary information to rebill/appeal

Works daily track and aging reports to ensure all outstanding claims are resolved according to federal guidelines with PHI

Monitors Inpatient accounts for authorization prior to billing as required

Ensures the accuracy of accounts as reviewed and when identified, submits corrections/adjustments to the patient account

Ensures denial info is entered into the appropriate system to facilitate collection of accounts