Senior OOS Medicaid Claims Specialist

Job Summary

A company is looking for a Senior OOS Claims Specialist.

Key Responsibilities

• Confirm Medicaid eligibility and authorization requirements, and submit authorization requests
• Perform manual data entry of patient accounts and manage Medicaid enrollment applications
• Provide customer service to clients and complete payment reconciliation reports

Qualifications and Requirements

• 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