Elevate Patient Financial Solutions® · 1 day ago
Senior OOS Medicaid Claims Specialist
United States
Full-time
Remote
Mid, Senior Level
2+ years exp
Maximize your interview chancesBusiness IntelligenceHealth Care
U.S. Citizen Only
Insider Connection @Elevate Patient Financial Solutions®
Get 3x more responses when you reach out via email instead of LinkedIn.
Responsibilities
Confirm eligibility and authorization requirements for Medicaid patients.
Submit authorization requests to Medicaid payers and perform appropriate follow up to ensure authorization requests are resolved in a timely manner.
Perform manual data entry of patient accounts and or claim forms.
Gather and maintain credentials from hospitals and physicians.
Coordinate with hospitals and physicians to accurately complete Medicaid enrollment applications.
Submit hospital and physician enrollment applications to Medicaid payers and complete timely follow up to ensure applications process correctly.
Manage and comply with client and Medicaid enrollment guidelines.
Update enrollment status, documentation, and information in software system.
Provide strong customer service to clients and provide responses to client inquiries within 24 hours.
Research and obtain necessary documentation to post unapplied cash.
Complete payment reconciliation reports on a weekly or monthly basis.
Review Medicaid payments for accuracy and submit payment information to the cash posting team.
Facilitate timely payment from Medicaid payers.
Work in compliance with state and federal guidelines, including HIPAA and FDCPA.
Maintain case clear, concise, and accurate account notation.
Monitor status of each account and communicate effectively with management, clients, and other parties regarding the status of the accounts.
Other duties as assigned.
Qualification
Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.
Required
High School Diploma or GED.
2-3 years of related experience in the healthcare industry or in a related area.
Excellent verbal and written communication skills.
Strong organizational skills.
Ability to multi-task.
Critical thinking and strong attention to detail.
Required computer skills: must have experience with data entry and word processing, be capable of operating routine office equipment, possess a working knowledge of MS Office applications, and understand how to navigate through multiple web-based applications.
Preferred
Working knowledge of ICD9, CPT codes, HIPAA, HCPCS and Medicaid preferred.
Benefits
Medical, Dental & Vision Insurance
401K (100% match for the first 3% & 50% match for the next 2%)
15 days of PTO
7 paid Holidays
2 Floating holidays
1 Elevate Day (floating holiday)
Pet Insurance
Employee referral bonus program
Teamwork: We believe in teamwork and having fun together
Career Growth: Gain great experience to promote to higher roles
Company
Elevate Patient Financial Solutions®
Elevate Patient Financial Solutions® is a trusted partner who delivers superior RCM solutions to hospitals, health systems, and health providers nationwide.
1,001-5,000 employees
Funding
Current Stage
Late StageLeadership Team
Michael Shea
Chairman and Chief Executive Officer
Recent News
Company data provided by crunchbase
