Job Details

A company is looking for a Senior OOS Medicaid Claims Specialist.

Key Responsibilities

• Confirm eligibility and authorization requirements for Medicaid patients
• Submit authorization requests and perform follow-up with Medicaid payers
• Manage Medicaid enrollment applications and maintain accurate account documentation

Required Qualifications

• 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 proficiency in MS Office applications