medicaid specialist

Companion Home Care

Company OverviewCompanion Home Care is committed to enabling individuals to live life to the fullest in the comfort of their own homes. We provide compassionate and personalized care that promotes physical well-being, emotional stability, and self-determination. Our approach is rooted in understanding and compassion, as we strive to become part of your family.SummaryWe are seeking a Billing Specialist to join our team at Companion Home Care. This role is responsible for various duties related to authorizations, billing claims, posting payments, and collecting accounts receivable. Our team's goal is to reduce the organization's accounts receivable by keeping detailed accounting systems through our internal system. In this role, you will play a vital part in managing billing processes and ensuring accurate financial transactions related to our home care services and durable medical equipment transactions. Your work will contribute significantly to our mission of providing exceptional care while maintaining the dignity and respect our clients deserve.Responsibilities<ul><li>Create batch billing from time records and create all invoices for the clients as needed.</li><li>Submit and ensure all client&rsquo;s electronic billing is processed according to payer timely filing guidelines as needed.</li><li>Resolve all claim denials per the mandatory process.</li><li>Contact payer by phone, email, fax, or support ticket to resolve denials for client.</li><li>Review accounts receivable to identify posting or billing issues and resolve these issues.</li><li>Liaison between clients, payers, and office staff.</li><li>Post electronic and manual payments to accounts within mandatory process.</li><li>Process billing for services rendered, ensuring accuracy and compliance with regulations.</li><li>Maintain detailed records of billing transactions and client accounts.</li><li>Communicate with clients regarding billing inquiries and resolve any discrepancies.</li><li>Collaborate with healthcare providers to obtain necessary documentation for billing purposes.</li><li>Stay updated on changes in medical coding and billing regulations, including ICD-10 and ICD-9 codes.</li><li>Assist in the preparation of financial reports related to billing activities.</li></ul>*Requirements<ul><li>4+ years of experience in claims handling, healthcare billing, accounts receivable, aging reports, and/or posting payments.</li><li>Must have healthcare claims experience.</li><li>Must have excellent customer service skills.</li><li>Ability to work independently.</li><li>Strong attention to detail and high level of accuracy.</li><li>Ability to prioritize workload and maintain an organized system for processes.</li><li>Excellent written and verbal communication skills.</li><li>Proficiency in Microsoft Office products, including Outlook, Excel, and SharePoint.</li><li>Proven experience in personal care or general medical billing.</li><li>Familiarity with NC LME/MCOs and Tailored Plan billing processes.</li><li>Understanding of IDD terminology and NC Medicaid service definitions.</li><li>Strong knowledge of medical terminology and coding practices, including ICD-10.</li></ul>We invite you to apply today and become part of our dedicated team at Companion Home Care!Job Type: Full-timePay: $23.00 - $26.00 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Disability insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Medicaid Billing Specialist

The Groves

<div>Job Title: Medicaid Specialist &ndash; Long-Term Care Facilities

About Us: 
We are a skilled nursing and rehabilitation facility committed to delivering exceptional care to our residents. We&rsquo;re looking for a detail-oriented and knowledgeable Medicaid Specialist to join our business office.

Position Overview: 
The Medicaid Specialist plays a critical role in supporting the financial and administrative functions of our facility. This position will focus on managing Missouri Medicaid applications, redeterminations, and compliance for long-term care residents. It is ideal for someone with experience in a Business Office Manager or Assistant BOM role who has a strong background in Medicaid processes.

Key Responsibilities:
<ul>
<li>Oversee and manage all aspects of the Missouri Medicaid application and approval process
</li>
<li>Assist residents and families in gathering and submitting required documentation
</li>
<li>Monitor Medicaid redetermination timelines and ensure continued coverage
</li>
<li>Collaborate with the business office manager and admissions team to verify payor sources and maintain accurate records
</li>
<li>Communicate effectively with DSS caseworkers, legal representatives, and residents&rsquo; families
</li>
<li>Maintain compliance with state and federal regulations
</li>
</ul>Qualifications:
<ul>
<li>Previous experience in a long-term care facility business office required
</li>
<li>Strong knowledge of Missouri Medicaid regulations and LTC eligibility requirements
</li>
<li>Excellent communication, organization, and follow-up skills
</li>
<li>Ability to work independently and as part of a team
</li>
<li>Proficiency in Microsoft Office and electronic health record systems
</li>
</ul>BOM &ndash; Business Office Manager Benefits:
<ul>
<li>Competitive salary
</li>
<li>Great work environment
</li>
<li>Medical, Dental &amp; Vision Benefits
</li>
<li>Vacation, Sick &amp; Holiday Pay</li></ul></div>

Billing Assistant BOM

Staffing Solutions Organization LLC (SSO)

Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.
 
Medicaid Long-Term Care Application Support Specialist
 100% Remote (Requires regional travel within the state of New Hampshire)
 
Overview: 
The Regional Mobile Medicaid Application Support Specialist assists individuals across New Hampshire in understanding and completing Medicaid Long-Term Care (LTC) financial eligibility determinations and redeterminations. This role provides hands-on application support and education to individuals, families, providers, and administrators at nursing homes, assisted living facilities, hospitals, and other designated locations—primarily within Hillsborough, Rockingham, Cheshire, Grafton, or Merrimack counties.
 Incumbents serve as key points of contact for applicants and their families, helping improve understanding of eligibility requirements and increasing timely and complete application submissions, and supporting Facility administrative staff with
 
Key Responsibilities: 
<ul>
<li>Travel to assigned on-site locations throughout New Hampshire to support nursing home staff in and to meet with residents and families to provide hands on assistance.</li>
<li>Review pending applications assigned by the LTC Eligibility Supervisor or Nursing Facility Point of Contact for completion and compliance with state and federal requirements</li>
<li>Clearly explain complex requirements to individuals, families, and authorized representatives and assist them in completing applications during scheduled in-person or virtual appointments.</li>
<li>Guide applicants through required forms, gathering acceptable documentation, and submitting electronic and physical applications.</li>
<li>Educate applicants on Medicaid LTC financial rules, including spend down, asset transfers, spousal impoverishment, and third party liability.</li>
<li>Review submitted documentation, identify missing verifications, and support applicants with gathering missing items.</li>
<li>Provide updates to the Eligibility Supervisor and Project Management team regarding assistance provided and any process barriers encountered.</li>
<li>Uphold all State, Federal, and PCG confidentiality and security protocols.</li>
<li>Other duties as assigned.</li>
</ul>
Skills & Knowledge:Successful candidates will demonstrate: 
<ul>
<li>Ability to work independently in a remote environment with minimal in-person supervision.</li>
<li>Proficiency with Microsoft Teams, Outlook, Word, and Excel.</li>
<li>Ability to quickly learn and apply New Hampshire Medicaid LTC financial eligibility criteria to unique cases.</li>
<li>Strong communication skills, with the ability to explain processes and requirements to individuals with diverse communication and functional needs.</li>
<li>Strong customer service orientation.</li>
<li>Excellent organizational, documentation, and problem-solving skills.</li>
<li>Sensitivity and professionalism when working with diverse populations.</li>
<li>Familiarity with Federal and New Hampshire Medicaid eligibility processes. Experience with Long Term Care Eligibility requirements preferred.</li>
</ul>
Minimum Qualifications
 <ul>
<li>Bachelor’s degree in social work, human services, business administration, or a related field; OR equivalent experience.</li>
<li>1–3 years of experience supporting individuals in long-term care, community health, case management, or related settings.</li>
<li>Ability to read, write, and speak English clearly.</li>
<li>Successful completion of a background check.</li>
<li>Private, distraction free workspace with reliable high speed internet.</li>
<li>Reliable transportation for daily travel to locations across New Hampshire.</li>
</ul>
Location & Schedule: 
This is a salaried, field based role requiring daily travel to on-site locations across New Hampshire.
 Work schedule: Monday–Friday, 8:00am – 4:30pm ET
 
Compensation
 Salary: $50,000 annually.
 
Benefits
 At SSO, we invest in your health, financial security, and professional growth. Benefits include:
 <ul>
<li>Medical, vision, and dental insurance</li>
<li>401(k) with discretionary employer match</li>
<li>Paid time off and holidays</li>
<li>Flexible spending accounts</li>
<li>Additional employee perks</li>
</ul>
Keyword Search Terms
 Medicaid • Long-Term Care • LTC • Application Support • Eligibility Specialist • Medicaid Eligibility • Human Services • Social Services • Case Management • Community Health • Assisted Living • Nursing Home Support • Financial Eligibility • Medicaid Redetermination • Field-Based Specialist • Onsite Support • New Hampshire Medicaid • BFA-800 • Applicant Assistance • Public Health Services • Customer Service • Documentation Review • Outreach Specialist • Mobile Specialist • Healthcare Access • Medicaid Program Support
 
Compensation for roles at Staffing Solutions Organization LLC (SSO) varies depending on a wide array of factors including, but not limited to, the specific office location, role, skill set, and level of experience. As required by applicable law, SSO provides a reasonable range of compensation for this role. In addition, SSO provides a range of benefits for this role.
 
Applicants must be authorized to work in the U.S. This position is not eligible for work authorization sponsorship (including H-1B sponsorship) by SSO and under the federal laws relating to the F-1 STEM EAD program, this position is not eligible to support a STEM EAD extension application.
 
All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability. Staffing Solutions Organization LLC is an E-Verify participant.

Medicaid LTC Application Support Specialist - NH

Integrity Management Services, Inc.

<div>About Us
Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review.
At IntegrityM, we offer a culture of opportunity, recognition, collaboration, and supporting our community. We thrive off of these fundamental elements that make IntegrityM a great place to work. Our small, flexible workplace offers an exceptional quality of life and promotes corporate-driven sustainability. We deliver creative solutions that exceed goals and foster a dynamic, idea-driven environment that nurtures our employees&rsquo; professional development. Large company perks&hellip;Small company feel!
www.integritym.com
In this role, the Medicaid Audit and Compliance Specialist will be responsible for performing and reporting on Medicaid Managed Care Plans and providers to identify potential fraud, waste, and abuse; issue findings and recommendations; and identify improper payments. Audit assignments can be programmatic or financial and may range from desk reviews and/or onsite review activities as determined by federal and state regulations. Specific review types may include case management, program payment appropriateness, program and policy compliance, billing, coding and medical record documentation reviews, as well as research and analysis of industry trends. The Medicaid Audit and Compliance Specialist will perform audits as assigned which consist of but are not limited to performing licensing and exclusion reviews on providers and work with the medical staff to ensure services are reimbursed meet regulatory requirements. The Medicaid Audit and Compliance Specialist will work independently as well as collaboratively with other audit staff. 
Job Responsibilities: 
<ul><li>
Applies in-depth knowledge of federal and state regulations and healthcare industry standards.</li></ul> 
<ul><li>
Comprehends and follows auditing plans and methodologies specific to contract requirements.</li></ul> 
<ul><li>Prioritization and assignment of workload, ensuring adherence to task order policies and procedures.</li></ul> 
<ul><li>
Examines and calculates data from financial documents and statements such as provider cost reports as a method of audit.</li></ul> 
<ul><li>
Utilize data mining and trend analysis tools to detect anomalies in Medicaid billing and payment patterns.</li></ul> 
<ul><li>
Attend on-site audits to retrieve medical records and conduct provider entrance/exit conference.</li></ul> 
<ul><li>
Prepare and submit medical record request letters to providers associated with requests for medical record requests or suspension overpayment determinations.</li></ul> 
<ul><li>
Interpret and apply pertinent laws, regulations, policies, and procedures relevant to the specific audit findings and provider type being audited.</li></ul> 
<ul><li>
Ensure Generally Accepted Government Auditing Standards (GAGAS) standards are applied to each applicable audit to identify fraud, waste or abuse.</li></ul> 
<ul><li>
Preparing factual and objective written reports in conformance with professional auditing and evaluation standards and present findings to leadership, external agencies, and government partners.</li></ul> 
<ul><li>
Calculates improper payments, and issues findings, recommendations, and corrective actions in accordance with applicable regulations, policies and procedures.</li></ul> 
<ul><li>Prepare and send suspension overpayment determinations to providers when applicable.</li></ul> 
<ul><li>
Communicates with federal/state agencies and providers regarding issues such as general regulatory compliance, audit findings, and the recovery process.</li></ul> 
<ul><li>
Attends briefings and presentations as assigned.</li></ul> 
<ul><li>
Maintains fraud case development quality standards so that proper case development is ensured, and quality cases are fully prepared.</li></ul> 
<ul><li>Maintains proper and timely updates in appropriate tools and applications for their investigations. Case development databases and documents.</li></ul> 
<ul><li>
Develops and documents reports of investigative findings, compiles case file documentation, calculates improper payments, and issues findings, recommendations, and corrective actions in accordance with applicable regulations, policies and procedures.</li></ul> 
<ul><li>Program research relating to federal program applications, eligibility, payments, and other program requirements.</li></ul> 
<ul><li>
Conducts on-site visits and/or interviews as required for investigation.</li></ul> 
<ul><li>Identify weaknesses in current audit processes and recommend enhancements for improved efficiency and effectiveness.</li></ul> 

Performs ad hoc tasks/duties as assigned. 
<ul><li>
</li></ul> 
 
Requirements 
<ul><li>
Bachelor&rsquo;s Degree in finance, accounting or related field required.</li><li>
5-7 Years of related experience in finance, accounting, or auditing.</li><li>
Intermediate knowledge of internal audit policies and operating principles.</li><li>
Intermediate knowledge and experience in auditing Medicare/Medicaid and other government payment and oversight programs. (CMS, HRSA, OIG, DOE, Dept. of Commerce etc.)</li><li>
Knowledge and experience in the application of government accounting principles and standards, including Generally Accepted Government Auditing Standards (GAGAS).</li><li>
Experienced investigative skills.</li><li>
Strong data analysis skills.</li><li>
Knowledge of medical terminology, ICD-9-CM, ICD-10-CM HCPCS level II and CPT codes. Utilizes Medicaid and Contractor guidelines for coverage determinations.</li><li>
Experience in reviewing claims for appropriate billing and medical coding requirements, performing medical review, and/or developing fraud cases.</li><li>
Strong oral and written communication skills, strong interpersonal skills, and superior organizational abilities.</li><li>
Ability to take initiative, to maintain confidentiality, to meet deadlines, and to work in a team environment.</li><li>
Ability to report work activity on a timely basis.</li><li>
Ability to work independently and as a member of a team to deliver high quality work.</li><li>
Ability to multitask and prioritize assignments while meeting deadlines.</li><li>
Proficiency in Microsoft Office, specifically Microsoft Word and Excel.</li><li>
Passion and alignment with IntegrityM&rsquo;s mission, vision, values and operating principles.</li></ul>
Additional Requirements:<ul><li>
Must pass post hire background screening checks.</li><li>
For remote work, required to have wired and/or wireless internet access.</li></ul></div>

Medicaid Audit and Compliance Specialist (Full-time, Remote)

Lifebridge Health

<div><h1 class="jobSectionHeader">Medicaid Patient Advocate
</h1><div><div><ul><li>Randallstown, MD
</li><li>SINAI HOSPITAL
</li><li>Full-time - Day shift - 8:00am-4:30pm
</li><li>CLERICAL ADMIN
</li><li>96069
</li><li>$18.67-$33.17 Experience based
</li><li>Posted: Today
</li></ul></div><div>Apply Now Save Job Saved
</div></div><div>Summary
<div><div>Who We Are: 
 
LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to &ldquo;improve the health of people in the communities we serve.&rdquo; Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. 
About the Role: 

The Medicaid Patient Advocate will complete Medical Assistance Applications on uninsured and underinsured patients who may qualify for benefits under the Maryland Medicaid Program or other entitlement programs and will complete forms to determine Financial Assistance eligibility under LifeBridge Health policy. 

KEY RESPONSIBILITIES:
<ul><li>Completes Medicaid and Financial Assistance applications for uninsured/underinsured patients.</li>
<li>Interviews patients to determine if covered by insurance not identified at registration on date of service or within 24 hours of inpatient admission.</li>
<li>Verifies insurance coverage and updates insurance information on all accounts within eligibillity period on date of service or within 24 hours of inpatient admission.</li>
<li>Interviews uninsured/underinsured patients to determine Medicaid and Financial Assistance eligibility.</li>
<li>Utilizes software to complete and submit Medicaid applications electronically.</li>
<li>Completes and submits paper Medicaid applications when appropriate.</li>
<li>Updates system(s) with notes pertaining to actions taken/actions required.</li>
<li>Sets appropriate next activity/follow-up dates within prescribed timeframes.</li>
<li>Follows up with patients to obtain and submit required documentation to complete Medicaid application within 30 days of discharge.</li>
<li>Monitors billing of converted accounts and escalated claims not billed.</li>
<li>Makes appropriate referrals of incomplete applications at 30 days to secondary agencies.</li>
<li>Monitors Medicaid Applications.</li>
<li>Monitors submitted applications and takes appropriate action to resolve/finalize.</li>
<li>Contacts Maryland Department of Health (MDH) State Caseworkers to ascertain status of applications and resolve outstanding documentation requests.</li>
<li>Checks applicant eligibility on-line.</li>
<li>Escalates cases that are not final dispositioned within prescribed timeframes.</li>
<li>Takes necessary steps to update accounts with final Medicaid disposition.</li>
<li>Documents all relevant action taken to resolve the account.</li>
<li>Updates applicable insurance information.</li>
<li>Updates True Self Pay to accounts determined not eligible.</li>
<li>Ensures timely billing of accounts.</li>
</ul>
REQUIREMENTS:
<ul><li>Education: Associate's degree preferred.</li>
<li>Experience: Minimum three years of experience with any medicaid program.</li>
<li>Licenses/Certification: Certified Application Counselor (CAC) preferred but must obtain within one year of hire. Must have full MD driver's license and reliable transportation to travel to other LifeBridge Health facilities.</li>
<li>Must have transportation to travel to other LifeBridge Health locations as needed for coverage.</li></ul> 

POSITION LOCATED AT NORTHWEST HOSPITAL 

</div>
</div>Additional Information 
 
What We Offer: 
 
Impact: Join a team that values innovation and outcomes, delivering life-saving care to our youngest and most vulnerable patients. 
 
Growth: Opportunities for professional development, including tuition reimbursement and developing foundational skills for neonatal critical care leadership and advanced certification. 
 
Support: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support &mdash; improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. 
 
Benefits: Competitive compensation (additional compensation such as overtime, shift differentials, premium pay, and bonuses may apply depending on job), comprehensive health plans, free parking, and wellness programs. 
 
Why LifeBridge Health? 
 
With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in the Baltimore region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital, and Levindale Hebrew Geriatric Center and Hospital. 
 
Our organization thrives on a culture of CARE BRAVELY&mdash;where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare. 
 
LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression.
</div><div><div><div><div>Share:
</div></div><div>Apply Now</div></div></div></div><div></div>

Medicaid Patient Advocate

The Grand Healthcare System

<div>The Grand Rehabilitation and Nursing at Rome is currently seeking a Medicaid Coordinator to join our team! 
Position Type: Full-Time (8:00am to 4:00pm or 9:00am to 5:00pm) 
Pay Range: $25.00 to $28.00 per hour (with benefits)
Position Overview
We are looking for a highly organized and compassionate Medicaid Coordinator to manage a broad spectrum of financial and administrative functions in our skilled nursing facility. This full-time role combines the critical responsibilities of Medicaid processing, resident billing, collections, and business office operations. You'll work closely with residents, families, and interdisciplinary teams to ensure financial matters are handled with professionalism, clarity, and accuracy.
Key Responsibilities
Medicaid Coordination &amp; Application Support<ul><li>
Oversee Medicaid applications and recertifications for residents</li><li>
Assist residents and families with gathering required documentation and understanding eligibility criteria</li><li>
Track application statuses, respond to state agency requests, and ensure timely submission</li><li>
Maintain an accurate Medicaid pending list and monitor spend-down processes</li><li>
Review and maintain accurate financial records, including private pay accounts and Medicaid conversion billing</li><li>
Conduct meetings to explain billing, Medicaid, and insurance coverage clearly and compassionately</li></ul><ul><li>
Maintain compliance with all Medicaid, Medicare, and insurance guidelines</li><li>
Generate and submit reports related to billing, aging, Medicaid conversion, and collections as needed</li></ul>
Qualifications &amp; Requirements<ul><li>
2+ years of experience in a long-term care facility or skilled nursing setting</li><li>
Direct experience with Medicaid application and recertification processes</li><li>
Strong knowledge of billing procedures, Medicare/Medicaid rules, and managed care guidelines</li><li>
Excellent communication, customer service, and interpersonal skills</li><li>
Highly organized, with the ability to manage multiple tasks and deadlines</li><li>
Experience with electronic medical records and financial software systems (e.g., PCC, MatrixCare, etc.) preferred</li><li>
Knowledge of MEDS (Medicaid eligibility Decision System) - Required</li></ul>
What We Offer<ul><li>
Competitive Compensation: Salary commensurate with experience plus performance-based incentives</li><li>
Comprehensive Benefits: Medical, dental, vision, 401(k), paid time off, and more</li><li>
Career Development: Training and advancement opportunities within The Grand Healthcare System</li><li>
Positive Work Environment: A team-focused setting where your contributions are valued and supported</li></ul></div>

Medicaid Coordinator

Elevate Patient Financial Solutions

<div><div>Elevate Patient Financial Solutions has an exciting career opportunity available as a Medicare Specialist. This position will be located in _____________. The Full Time schedule for this role will be _______________.</div>
<div> 
Job Summary 
As a Medicare Specialist, you will be instrumental in helping resolve aged medical claims, outstanding claims and denied claims to determine the appropriate course of action. A Medicare Specialist is responsible for the Medicare accounts for multiple hospital or physician groups. These accounts will be assigned by the manager for review and resolution with the use of the Medicare DDE system and Part B websites such as Connex and C-Snap</div>
<div> 
Essential Duties and Responsibilities</div>
<ul><li>Resolve cash generating accounts expeditiously to bring in revenue for the client and the company.</li>
<li>Able to review Medicare claims to determine status (UB/HCFA)</li>
<li>Able to post adjustments on various facility systems</li>
<li>Must have the ability to work denials and appeals in a timely manner</li>
<li>Experience in billing electronic claims</li>
<li>Driven to resolve claims on first touch</li>
<li>Proficiently navigate through CMS.Gov websites as well as the intermediary websites</li>
<li>Working knowledge of ICD-9 and ICD-10, CPT, revenue codes, HCPCS and modifiers</li>
<li>Able to work in the Medicare DDE/FISS (Direct Data Entry) system: (Hospital only)
<ul><li>Check Claim status in DDE</li>
<li>Know the condition codes for adjusting and canceling claims</li>
<li>Enter/correct/adjust/cancel claims</li>
<li>Able to rekey a claim directly into the DDE system</li>
<li>Make correction to RTP claims (returned to provider)</li>
<li>Able to interpret eligibility information on CWF and HIQA</li>
 <li>Develops a solid understanding of assigned client processes in order to review and analyze claims and account receivable functions.</li>
</ul></li><li>Include key information in account notes consistently</li>
<li>Able to ask questions, if unclear, on facility specifics or company processes.</li>
<li>Able to use the appropriate reason and status codes in the company software for each account</li>
<li>Able to request the correct information from the appropriate entity when attempting to resolve the account.</li>
<li>Maintain the minimum production criteria for the various client assigned</li>
<li>Maintain a 5% or less error ratio</li>
<li>Regular and timely attendance.</li>
<li>Other duties as assigned.</li>
</ul><div>Qualifications and Requirements 
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities.</div>
<ul><li>High School Diploma or GED.</li>
<li>Some college preferred or college degree.</li>
<li>Minimum 1-2 years&rsquo; experience in working traditional Medicare claims.</li>
<li>Minimum of 1-2 years&rsquo; experience in working in DDE Direct Data Entry system.</li>
<li>Able to type 50 wpm</li>
<li>Team-oriented but also able to work independently</li>
<li>Strong organizational skills.</li>
<li>Excels at time-management.</li>
<li>Able to adapt to change.</li>
<li>Proven success at building strong working relationships with coworkers and management.</li>
<li>Beneficial to have worked in one or more Health Information Systems: Epic physicians or hospital, Meditech, Invision, AS400, Citrix, IDX, Nextgen, Allscript Physicians or hospital, Centricity, Soarian, Series &amp; HBOC Star, Cerner, Practice Plus, TMHP and other Medicaid sites.</li>
<li>Remote and Hybrid positions require internet connections that meet the Company&rsquo;s upload and download speed criteria.</li>
</ul><div>Benefits:</div>
<div> 
ElevatePFS believes in making a positive impact not only within our industry but also with our employees &ndash;the organization&rsquo;s greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families.</div>
<ul><li>Medical, Dental &amp; Vision Insurance</li>
<li>401K (100% match for the first 3% &amp; 50% match for the next 2%)</li>
<li>15 days of PTO</li>
<li>7 paid Holidays</li>
<li>2 Floating holidays</li>
<li>1 Elevate Day (floating holiday)</li>
<li>Pet Insurance</li>
<li>Employee referral bonus program</li>
<li>Teamwork: We believe in teamwork and having fun together</li>
<li>Career Growth: Gain great experience to promote to higher roles</li>
</ul><div>The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage. 
 
The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change. 
 
ElevatePFS is an Equal Opportunity Employer</div></div>

Medicare Specialist

Search 6517+ Medicaid specialist jobs near you this April. New roles added regularly across leading industries. Apply today.