Job Summary
A company is looking for a Senior OOS Medicaid Claims Specialist.
Key Responsibilities
- Confirm eligibility and authorization requirements for Medicaid patients
- Submit authorization requests to Medicaid payers and perform follow-up
- Manage and comply with client and Medicaid enrollment 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 data entry and MS Office applications
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