Senior Medicaid Claims Specialist

Job Summary

A company is looking for a Senior OOS Medicaid Claims Specialist.

Key Responsibilities

• Confirm eligibility and authorization requirements for Medicaid patients and submit authorization requests
• Perform manual data entry of patient accounts and coordinate Medicaid enrollment applications
• Provide customer service to clients and manage compliance with client and Medicaid guidelines

Qualifications and Requirements

• High School Diploma or GED
• 2-3 years of related experience in the healthcare industry or a related area
• Working knowledge of ICD9, CPT codes, HIPAA, HCPCS, and Medicaid preferred
• Required computer skills, including experience with data entry and MS Office applications