Claims Processing, Health Insurance, High School Diploma, Insurance Documentation, Mail Processing, Mathematics, Medicaid, Medical Billing, Presentation/Verbal Skills, Reimbursement, Team Player, Time Management, Typing
Hours of Job
Full-time employment onsite. 8:00 a.m. - 4:30 p.m.
No Holidays or Weekends Required
Duties and Key Responsibilities
Processes and follows up on all Medicaid claims until proper reimbursement is received.
Works denials in a timely manner and files corrected claims and/or appeals when necessary.
Processes hard copy claims when applicable
Processes mail and explanation of benefits related to Medicaid accounts.
Processes all Medicaid claims according to carrier guidelines.
Makes all necessary corrections on Medicaid claims for submission.
Works under the supervision of the Patient Accounts Manager.
Requirements
Typing, basic math calculations, computer oriented, and good verbal skills.
Able to work without direct supervision, work well in a group setting.
Ability to work independently with excellent time management skills.
Ability to recall details and Health Insurances procedures/ processes.
Education/Certifications
Experience
Previous experience is preferred, but not required.
Grand Lake Health System provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. GLHS complies with applicable state and local laws governing nondiscrimination in employment in all of our locations. In addition, Grand Lake Health System is an At-Will Employment employer.
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Grand Lake Health System