Medicaid Claims Manager

  • location: Stockton, CA
  • type: Contract
  • salary: $50 per hour
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job description

Medicaid Claims Manager

job summary:
Specific Duties:

  • Seeking a subject matter expert to support the Medicaid Services Department
  • Works closely with internal and external teams to identify issues, report trends, implement initiatives and coordinate collaborative efforts
  • Responsible for supervising day-to-day operations of the government AR in accordance with organization's polices and regulations
  • Provide support in the functional area of Revenue Cycle which includes billing, reimbursement, collections, appeals, follow-up, adjustment posting, refunds, and other related recovery functions
  • Responsible for reviewing Medicaid claims for compliance and completeness in a timely manner
  • Assist with submission of electronic Medicaid claims
  • Review electronic audits and payer response reports
  • Review and correct denied Medicaid claims
  • Maintain and generate Medicaid billing reports
  • Perform other administrative functions as required
Must have qualifications/experience:

  • Extensive knowledge of Medi-Cal
  • Problem solving through analysis
  • Minimum of three years of medical insurance/healthcare billing and collection experience in a medical practice or health system with a deep understanding of Medicaid billing rues and regulations
  • Two years supervisory or management experienced preferred
  • Understanding of CPT, HCPCS and ICD10 coding
  • Good verbal and written communication
  • Excel knowledge required
 
location: Stockton, California
job type: Contract
work hours: 8 to 5
education: Unknown
experience: 2 Years
 
responsibilities:
Specific Duties:

  • Seeking a subject matter expert to support the Medicaid Services Department
  • Works closely with internal and external teams to identify issues, report trends, implement initiatives and coordinate collaborative efforts
  • Responsible for supervising day-to-day operations of the government AR in accordance with organization's polices and regulations
  • Provide support in the functional area of Revenue Cycle which includes billing, reimbursement, collections, appeals, follow-up, adjustment posting, refunds, and other related recovery functions
  • Responsible for reviewing Medicaid claims for compliance and completeness in a timely manner
  • Assist with submission of electronic Medicaid claims
  • Review electronic audits and payer response reports
  • Review and correct denied Medicaid claims
  • Maintain and generate Medicaid billing reports
  • Perform other administrative functions as required
Must have qualifications/experience:

  • Extensive knowledge of Medi-Cal
  • Problem solving through analysis
  • Minimum of three years of medical insurance/healthcare billing and collection experience in a medical practice or health system with a deep understanding of Medicaid billing rues and regulations
  • Two years supervisory or management experienced preferred
  • Understanding of CPT, HCPCS and ICD10 coding
  • Good verbal and written communication
  • Excel knowledge required
 
qualifications:
Specific Duties:

  • Seeking a subject matter expert to support the Medicaid Services Department
  • Works closely with internal and external teams to identify issues, report trends, implement initiatives and coordinate collaborative efforts
  • Responsible for supervising day-to-day operations of the government AR in accordance with organization's polices and regulations
  • Provide support in the functional area of Revenue Cycle which includes billing, reimbursement, collections, appeals, follow-up, adjustment posting, refunds, and other related recovery functions
  • Responsible for reviewing Medicaid claims for compliance and completeness in a timely manner
  • Assist with submission of electronic Medicaid claims
  • Review electronic audits and payer response reports
  • Review and correct denied Medicaid claims
  • Maintain and generate Medicaid billing reports
  • Perform other administrative functions as required
Must have qualifications/experience:

  • Extensive knowledge of Medi-Cal
  • Problem solving through analysis
  • Minimum of three years of medical insurance/healthcare billing and collection experience in a medical practice or health system with a deep understanding of Medicaid billing rues and regulations
  • Two years supervisory or management experienced preferred
  • Understanding of CPT, HCPCS and ICD10 coding
  • Good verbal and written communication
  • Excel knowledge required
 
skills: Customer Service
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

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