Medicaid Specialist

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

Medicaid Specialist

Join the Sweetwater Care Team in Boston, MA!

As a Medicaid Specialist at Sweetwater Care, you will play a vital role in ensuring the seamless delivery of healthcare services to our patients. With a strong focus on patient-centered care, we are seeking a highly skilled and dedicated individual to join our team.

About the Role

As a Medicaid Specialist, you will be responsible for:

• Coordination of Medicaid Services: You will work closely with patients, healthcare providers, and insurance companies to coordinate and manage Medicaid services, ensuring that patients receive the necessary care and support.

• Claims Processing and Billing: You will be responsible for processing and billing Medicaid claims, ensuring accurate and timely submission to minimize delays and denials.

• Patient Advocacy: You will serve as a patient advocate, addressing concerns and resolving issues related to Medicaid services and billing.

• Record Keeping and Reporting: You will maintain accurate and detailed records of patient interactions, claims processing, and billing.

Requirements

• 2 years of experience in a healthcare setting, preferably in Medicaid coordination or billing

• High School Diploma or equivalent required; 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