Smile Doctors · 10 hours ago
Senior Medicaid Specialist
Dallas, TX
Full-time
Onsite
Senior Level
5+ years expSmile Doctors is a leading Orthodontic Support Organization dedicated to providing exceptional support services to orthodontists. The Senior Medicaid Specialist will be responsible for Medicaid development, compliance, and credentialing, while also mentoring junior staff and ensuring alignment with Medicaid guidelines.
DentalHealth CareHospitalMedical
Responsibilities
Monitor and interpret federal and state Medicaid dental regulations
Conduct research on Medicaid updates, reimbursement models, and best practices
Draft Medicaid development requests to ensure system functionality
Draft Medicaid policies and procedures
Analyze Medicaid data to identify trends in access barriers or regulatory shifts
Support manager in ensuring organizational practices align with current Medicaid guidelines
Mentor the Medicaid Specialist
Serve as a subject matter expert on Medicaid dental coverage and policy changes
Maintain up-to-date knowledge of eligibility criteria and renewal procedures
Track enrollment timelines
Act as a resource for clinics and provide training on Medicaid procedures and best practices
Provide customer service for billing inquiries and assist with their documentation
Assist in training clinic team members on Medicaid processes and update
Liaison with Medicaid Advocates for guidance and clarification on Medicaid processes
Qualification
Required
High School diploma or equivalent required
Five (5) years of experience in revenue cycle management, claims, or service access required with two (2) of those years in Orthodontics insurance or billing preferred
Strong policy writing and process improvement skills
Strong analytical and problem-solving abilities
Strong oral and written communication skills
Preferred
Experience with Medicaid and commercial payor enrollment across multiple states preferred
Intermediate proficiency in Microsoft Excel and SharePoint
Benefits
Medical, dental, vision and life insurance
Short and long-term disability coverage
401(k) plan
3 weeks paid time off in your first year + paid holidays
Discounts on braces and clear aligners for you and your family members
Company
Smile Doctors
Smile Doctors is an orthodontics that focuses on dental service organizations.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$550MKey Investors
THLLinden Capital Partners
2023-07-19Private Equity· $550M
2022-01-05Private Equity
2017-10-19Private Equity
Leadership Team
John (J.) Hedrick
Chief Executive Officer
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