Senior Medicaid Claims Specialist

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 to ensure timely resolution
• Manage and comply with client and Medicaid enrollment guidelines while maintaining accurate account documentation

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