Medicaid Specialist

Company: Help at Home
Location: Savannah
Posted on: November 22, 2020

Job Description:

Help at Home is still hiring in your community Help at Home is the nation---s leading provider of high-quality support, providing a gold standard of care to seniors and people with disabilities. Right now, our clients need us more than ever. We are still hiring compassionate caregivers, and we are taking every precaution to protect our communities. We commit to being transparent and open in our hiring process to ensure your health and safety. Our clients, caregivers and employees will always be our top priority. The Medicaid Specialist---s primary responsibility is the timely follow up on all Medicaid claims. Responsible for billing MCD, SMS, CAG/CAI, Behavior Support, ICWP, and Nursing claims. Responsibilities Responsible to follow up and collect on denied Medicaid Claims. Adjust claims for payment in the Medicaid web portal immediately after the Billing Specialist prints denied claims reports. Bills and updates spreadsheets for MCD, SMS, CAG/CAI, Behavior Support, ICWP, and Nursing claims. Update the SMS charges in CV and send the reports to the corresponding DDP---s. Medicaid eligibility for Help at Home. This includes the compilation of the CCSP cost shares via Zirmed and GAMMIS Medicaid web portal. Pulls and analyzes prior authorization---s to determine eligibility to assess how much money and units are left on the PA to serve. Reports and/or follows up on incidents or accidents providing input, documentation and resolution as necessary to prevent reoccurrence and to protect client, caregiver and company. Handles all other duties as assigned. Qualifications High school Diploma, Accounting degree preferred and or experience in Medical Billing/Collections 3 or more years of experience in Accounting Anticipates and resolves problems demonstrating good judgment Provides leadership in developing and implementing solutions Improves processes within a department emphasizing quality and efficiency Appropriately follows company communication guidelines in regard to external sources (notification protocol). Flexible, adjusts workload to accommodate changes in priorities and workload. Cooperates and is willing to assist others, accepts direction. Identifies opportunities to provide excellent customer service to clients and employees.

Keywords: Help at Home, Savannah , Medicaid Specialist, Other , Savannah, Georgia