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Senior Medicaid Claims Specialist

6/11/2025

No location specified

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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