Senior Medicaid Support Specialist

Wellpath•Franklin, TN

About The Position

You Matter. Make a difference every day in the lives of the underserved. Join a mission-driven organization with a people-first culture. Excellent career growth opportunities. Join us and find a career that supports: Caring for overlooked, underserved, and vulnerable patients. Diversity, equity, inclusion, and belonging. Autonomy in a warm team environment. Growth and training. Perks and Benefits: In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work-life balance for team members and their family to support physical, mental, and financial wellbeing including: DailyPay, receive your money as you earn it! Tuition Assistance and dependent Scholarships. Employee Assistance Program (EAP) including free counseling and health coaching. Company-paid life insurance. Tax-free Health Spending Accounts (HSA). Wellness program featuring fitness memberships and product discounts. Preferred banking partnership and discounted rates for home and auto loans. Eligibility for perks and benefits varies based on employee type and length of service. Why Us: Now is your moment to make a difference in the lives of the underserved. If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best-in-class clinical resources for training, education, and point-of-care support.

Requirements

Bachelor’s degree required.
3+ years of experience with Medicaid/Private insurance billing or enrollments.
3+ years of experience with analyzing data, creating reports, and converting for meaningful use for internal and external clients.
1-2 years of experience with payment integrity and recoupments experience.
1-2 years of experience with presentations and developing training materials.

Nice To Haves

Hospital billing experience preferred.

Responsibilities

Provide expertise and support to field staff on Medicaid enrollment and eligibility
Escalate issues and communicate changes in Medicaid policies to internal teams
Coordinate with operations, utilization management, and claims to prevent non-reimbursed costs
Assist with the development, maintenance, and communication of KPIs
Support process improvement initiatives related to Medicaid billing and reimbursements