Medicaid Services Specialist & Patient Advocate

Sweetwater Care; Boston (MA); On-site; USD 52,000 - 76,000; Full time

Job summary

Sweetwater Care in Boston, MA is seeking a Medicaid Specialist to coordinate Medicaid services, process and bill claims, advocate for patients, and maintain detailed records. This role emphasizes accuracy, timely communication with providers and insurers, and a proactive approach to resolving issues affecting patient care and reimbursement.

The ideal candidate has 2 years in healthcare, strong analytical and interpersonal skills, and familiarity with Medicaid rules.

Qualifications

• 2 years of experience in a healthcare setting, preferably in Medicaid coordination or billing.
• High School Diploma or equivalent; Associates or Bachelor's degree in a related field preferred.
• Strong analytical and problem-solving skills.
• Excellent communication and customer service skills.
• Ability to work in a fast-paced environment and prioritize tasks effectively.
• Familiarity with Medicaid regulations and procedures.

Responsibilities

• Coordination of Medicaid Services: work with patients, providers, and insurers to coordinate and manage Medicaid services.
• Claims Processing and Billing: process and submit Medicaid claims accurately and timely.
• Patient Advocacy: address concerns and resolve issues related to Medicaid services and billing.
• Record Keeping and Reporting: maintain detailed records of patient interactions, claims processing, and billing.

Skills

Analytical skills

Problem-solving

Communication

Customer service

Prioritization

Medicaid regulations

Education

High school diploma

Associate or bachelor's degree preferred

Job description

Sweetwater Care in Boston, MA is seeking a Medicaid Specialist to coordinate Medicaid services, process and bill claims, advocate for patients, and maintain detailed records. This role emphasizes accuracy, timely communication with providers and insurers, and a proactive approach to resolving issues affecting patient care and reimbursement.

The ideal candidate has 2 years in healthcare, strong analytical and interpersonal skills, and familiarity with Medicaid rules.