Medicaid Claims Specialist - Growth & CE Focus

Memorial Home Services; Springfield (IL); On-site; USD 20,000 - 32,000; Full time

Benefits offered by this job

Paid Time Off (PTO)

Memorial Childcare

Mental Health Services

Growth Opportunities

Continuing Education

401(k)

Life Insurance and Voluntary Benefits

Employee Assistance Program

Adoption Assistance

Job summary

Memorial Health System is seeking a full-time billing professional to analyze, investigate, and resolve Medicaid claims and billing information across inpatient and outpatient settings. The role emphasizes compliance with Medicaid guidelines and organizational standards.

Ideal candidates will have 2+ years in health care billing, familiarity with CPT/ICD-9 coding, and experience with IDPA, SMS, and NEBO. Strong computer and communication skills are needed to coordinate with internal and external

Qualifications

• Education equivalent to graduation from high school or GED is required.
• Two or more years of insurance and/or health care billing experience is required.
• Previous experience with Medicaid billing and software (IDPA payment system, SMS, and NEBO) is highly preferred.
• Basic working knowledge of personal computers and their associate user software is required.
• Experience with Microsoft Office products Word and Excel is preferred.
• Ability to multi-task while working on multiple responsibilities simultaneously.
• Demonstrated ability to work successfully with internal customers and external contacts is required.
• Possesses a highly-developed critical thinking and problem solving ability to work through complex situations.
• Demonstrates excellent oral and written communication, keyboarding, basic math, and problem solving skills.
• Familiarity with medical terminology, medical procedural (CPT) and diagnosis (ICD-9 CM) coding, and hospital billing claim form UB-04 is highly preferred.

Skills

Analytical thinking

Communication skills

Multi-tasking

PC knowledge

Microsoft Word/Excel

Education

High school diploma or GED

Tools

IDPA payment system

SMS

NEBO

Job description

Memorial Health System is seeking a full-time billing professional to analyze, investigate, and resolve Medicaid claims and billing information across inpatient and outpatient settings. The role emphasizes compliance with Medicaid guidelines and organizational standards.

Ideal candidates will have 2+ years in health care billing, familiarity with CPT/ICD-9 coding, and experience with IDPA, SMS, and NEBO. Strong computer and communication skills are needed to coordinate with internal and external