MEDICAID SPECIALIST (1148)
Position Summary
Position Summary: Analyzes, investigates, and resolves claims/billing information and/or errors associated with inpatient and outpatient Medicaid claims. Ensures compliance with Medicaid guidelines and MMC organizational policies. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values. To review Memorial’s Benefits click here: Benefits – Memorial HR
Highlights & Benefits
- Paid Time Off (PTO)
- Memorial Childcare
- Mental Health Services
- Growth Opportunities
- Continuing Education
- Local and National Discounts
- Pet Insurance
- Medical, Dental, Vision
- Flexible Spending Account
- 401(k)
- Life Insurance and Voluntary Benefits
- Employee Assistance Program and Colleague Wellness
- Adoption Assistance
Required Experience
Education: Education equivalent to graduation from high school or GED is required. Experience: Two or more years of insurance and/or health care billing experience is required. Previous experience with Medicaid billing and software (IDPA payment system, SMS, and NEBO) is highly preferred. Other Knowledge/Skills/Abilities: – Basic working knowledge of personal computers and their associate user software is required. Experience with Microsoft Office products Word and Excel is preferred. – Ability to multi-task while working on multiple responsibilities simultaneously. – Demonstrated ability to work successfully with internal customers and external contacts is required. – Possesses a highly-developed critical thinking and problem solving-ability to work through complex situations. – Demonstrates excellent oral and written communication, keyboarding, basic math, and problem solving skills. – Familiarity with medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claim form UB-04 is highly preferred.