Job Details

A company is looking for a Senior Claims Specialist to conduct Medicaid eligibility, authorization, enrollment, and payment posting functions.Key ResponsibilitiesConfirm eligibility and authorization requirements for Medicaid patients and submit authorization requestsPerform manual data entry of patient accounts and coordinate enrollment applications with hospitals and physiciansManage client and Medicaid enrollment guidelines, ensuring compliance with state and federal regulationsQualifications and RequirementsHigh School Diploma or GED2-3 years of related experience in the healthcare industry or a related areaWorking knowledge of ICD9, CPT codes, HIPAA, HCPCS, and Medicaid preferredRequired computer skills, including data entry and proficiency in MS Office applicationsRemote positions require a home internet connection that meets specified criteria