Medicaid AR Specialist

Benevis • Atlanta, GA

5h • Onsite

About The Position

The Medicaid Accounts Receivable Specialist assists in the follow up of all Medicaid unpaid claims and open balances. This includes timely follow up on outstanding denials and assisting in identifying trends that can negatively impact revenue.

Requirements

• High School Diploma or GED.
• Two or more years of experience in healthcare reimbursement related to billing, collections and claims management preferred.
• Demonstrate working knowledge of the revenue cycle process, compliance, and federal regulations preferred.
• Demonstrate skills and experience in effectively collaborating with team members using oral, written, and interpersonal communications.
• Ability to organize and prioritize multiple assignments.
• Excellent Computer Skills: Excel, Word, and Outlook.
• Experience with health insurance programs preferred.
• Detail oriented with the ability to follow through on daily tasks.
• Two years customer service experience
• Must have knowledge of Microsoft Excel, Word, and Outlook
• Excellent communication skils (written and verbal)
• Well organized and detailed with the ability to communicate in an appropriate and timely manner
• Ability to work well with a team
• Multitask oriented
• Revenue Cycle experience preferred

Nice To Haves

• Degree preferred.
• Two or more years of experience in healthcare reimbursement related to billing, collections and claims management preferred.
• Demonstrate working knowledge of the revenue cycle process, compliance, and federal regulations preferred.
• Experience with health insurance programs preferred.
• Revenue Cycle experience preferred

Responsibilities

• Work unpaid and denied claims
• Contact payers to research claim status
• Pull procedure reports.
• Update internal documents with claim results/status.
• Constant communication with departments within our organization (EDI, Verification, Billing, Credentialing, etc.) as well as external clients (i.e. Payers)
• Generate claims and assist in preparing and submitting appeals to payers
• Report to AR Manager any denial trends that can negatively impact revenue for the assigned region in a timely manner

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED