Medicaid Specialist, 250 E. Liberty, 8:00a-4:30p

Job Description

This position requires thorough knowledge of the Uniform Bill, Medicaid, Medicare and Medicare Advantage billing, secondary deductible/coinsurance billing, and the Direct Data Entry (DDE) system for follow up. The specialist performs all duties related to timely and efficient billing and follow-up using their thorough understanding of Medicaid eligibility, benefits, determining primary payer, and covered benefits.

Essential Functions

• Maintains familiarity with inpatient-only procedure list and works with Revenue Cycle leadership to prevent denials
• Monitors and resolves claims holding on discharged not final billed (DNFB) list
• Ensures claims are filed electronically except for specified paper claims
• Identifies payers being submitted on paper rather than electronically and communicates the opportunities to leadership
• Follows up on unpaid Medicaid claims in a timely manner
• Ensures high-dollar accounts have consistent follow up until the account has been resolved
• Responsible for reviewing and understanding explanation of benefits/remittance advice
• Ensures statements are generated for the patient responsibility amounts
• Utilizes insurance websites to view and resolve claims
• Performs extensive account follow-up and provides analysis of problem accounts
• Documents all follow up efforts in a clear and concise manner into the AR system
• Sets up shadow claims for inpatient payers
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account
• Audits and researches accounts, payment postings and contractual to confirm the accuracy of the balance of the account