Senior Medicaid Claims Specialist

Job Summary

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

Key Responsibilities

• Confirm Medicaid eligibility and authorization requirements and submit requests to payers
• Perform data entry of patient accounts and manage Medicaid enrollment applications
• Provide customer service to clients and ensure compliance with guidelines

Required Qualifications

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