Senior Medicaid Claims Specialist

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 follow up to ensure timely resolution Manage Medicaid enrollment applications for hospitals and physicians, ensuring compliance with 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 proficiency in MS Office applications Strong organizational skills and ability to multi-task

Mar 28, 2025 - 01:58

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 follow up to ensure timely resolution Manage Medicaid enrollment applications for hospitals and physicians, ensuring compliance with 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 proficiency in MS Office applications Strong organizational skills and ability to multi-task