OOS Medicaid Claims Specialist

A company is looking for an OOS Medicaid Claims Specialist. Key Responsibilities Conduct Medicaid eligibility, authorization, billing, and follow-up functions Submit authorization requests and perform follow-ups to ensure timely resolution Review, edit, and submit claims to Medicaid payers while ensuring compliance with guidelines Qualifications and Requirements High School Diploma or GED 1-2 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 proficiency in MS Office applications Remote positions require a home internet connection that meets specific criteria

Apr 15, 2025 - 02:28

A company is looking for an OOS Medicaid Claims Specialist. Key Responsibilities Conduct Medicaid eligibility, authorization, billing, and follow-up functions Submit authorization requests and perform follow-ups to ensure timely resolution Review, edit, and submit claims to Medicaid payers while ensuring compliance with guidelines Qualifications and Requirements High School Diploma or GED 1-2 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 proficiency in MS Office applications Remote positions require a home internet connection that meets specific criteria