Medicaid Representative

University of Arkansas•Little Rock, AR

1d•Onsite

About The Position

The Medicaid Representative will verify and process Medicaid cases, analyze patient responsibility, prepare budgets, and document case outcomes. The Medicaid Representative will obtain a broad knowledge of Medicaid categories and the ability to learn and determine eligibility for at least twenty Medicaid categories; He/she will utilize knowledge of DHS programs and UAMS internal programs, and obtain a comprehensive understanding of Medicaid policies and procedures with the ability to perform the requirements associated with the Medicaid Enrollment team and perform other duties as assigned.

Requirements

High School Diploma
One year of experience in a healthcare revenue cycle setting preferably in a hospital/facility setting in patient billing, registration or relevant area
Two years of experience or training in customer service, healthcare, or related field
Successful completion of DHS Medicaid Enrollment Clerical System training within one (1) year of hire date.
Ability to follow oral and written instructions and communicate with others effectively.
Strong computer/basic keyboard skills, telephone skills and general knowledge of office machines including printers.
Excellent customer relations skills

Nice To Haves

Bachelor’s with an emphasis in health/business related field preferred or commensurate work experience.
Associate Degree or two years of college.
Two year of Medicaid enrollment experience or experience in insurance related to healthcare.
CHAA certification (Certified Healthcare Access Associate)
Understanding Medicaid/DHS –comprehensive knowledge.
Comprehensive understanding of regulatory and compliance organizations/agencies.

Responsibilities

Processes Medicaid cases in the most efficient and cost effective method.
Evaluates existing programs and systems and continues to seek personal and professional growth; analyzes patients’ responsibility by understanding verification of assets, family size, liability, budget, etc.; works Medicaid cases timely, including preparing budgets as directed by DHS policy; works assigned accounts and documents the outcome and status of the Medicaid application in Epic as needed.
Keys Medicaid cases into the DHS eligibility system; obtains knowledge of DHS/UAMS programs, policies, and procedures; documents and retrieves eligibility information from different data bases; reviews adult and newborn accounts in Epic that have pending applications and reviews DHS verifications; contacts patents as required to continue processing applications; assists patients and/or care providers, RNs, and social workers with self-pay patients; assist in adding adult and newborn AR DHS Medicaid applications.
Acts as a resource for the Medicaid Enrollment team; develops and maintains knowledge of Medicaid/UAMS policies and procedures, maintains current knowledge of all federal and state regulatory mandates and requirements including but not limited to Medicare, EMTALA HIPAA, and Joint Commission; successfully completes annual competency tests and competency testing and training required to validate skills; interacts with and assists the public in a professional and friendly manner.
Performs other duties as assigned