MEDICAID SPECIALIST (1148)

Focused on the Future of Care

We're looking for talented, passionate healthcare professionals to join the team at Memorial Health as we build the future of healthcare. If you're ready to be part of a transformative organization that puts people first, take a look at what we have to offer.

Position Type:

On-site

Job Description 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

Job Description:

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.

Pay Transparency

$18.34 - $28.42

Additional compensation in the form(s) of participation in our annual incentive program are dependent on role. Pay is based on factors such as work experience, education, certification(s), training, skills, and competencies related to the role. Memorial Health also offers a comprehensive benefits plan, which includes paid time off, 401(k) match, and health/ dental/ vision insurance options. All benefits can be found at https://jobs.memorial.health/about/benefits/

If you require a reasonable accommodation to complete this application or participate in the hiring process, please contact [email protected]. Requests will be handled confidentially.