MEDICAID SPECIALIST (1148)

Springfield Memorial Hospital; United States; On-site; USD 25,000 - 39,000; Full time

Benefits offered by this job

Health insurance

401(k) match

Paid time off

Job summary

Memorial Health is seeking a detail-oriented Medicaid Billing Specialist to analyze, investigate, and resolve inpatient and outpatient Medicaid claims. You will ensure compliance with Medicaid guidelines and MMC policies while upholding our standards of safety, courtesy, quality, and efficiency.

The role requires 2+ years of healthcare billing experience, familiarity with Medicaid systems (IDPA, SMS, NEBO), and strong communication skills. On-site work with competitive benefits is offered.

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.

Responsibilities

• Analyzes, investigates, and resolves claims/billing information and/or errors associated with inpatient and outpatient Medicaid claims.
• Ensures compliance with Medicaid guidelines and MMC organizational policies.
• Demonstrates Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency.

Skills

Insurance billing experience

Healthcare billing

Medicaid billing knowledge

Strong communication skills

Critical thinking

Multi-tasking

Problem solving

Medical terminology familiarity

Education

High school diploma or GED

Tools

IDPA payment system

SMS

NEBO

UB-04 knowledge

Microsoft Word

Microsoft Excel

Job description

Focused on the Future of Care

We're looking for talented, passionate healthcare professionals to join the team at Memorial Health as we build the future of healthcare. If you're ready to be part of a transformative organization that puts people first, take a look at what we have to offer.

Position Type: On-site

Job Description Summary: Position Summary: Analyzes, investigates, and resolves claims/billing information and/or errors associated with inpatient and outpatient Medicaid claims. Ensures compliance with Medicaid guidelines and MMC organizational policies. Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values.

To review Memorial's Benefits: Benefits - Memorial HR Job Description:

Education and Experience

Education: Education equivalent to graduation from high school or GED is required.

Experience: 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.

Other Knowledge/Skills/Abilities

• 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.

Salary and Benefits

Pay Transparency $18.34 - $28.42

Additional compensation in the form(s) of participation in our annual incentive program are dependent on role. Pay is based on factors such as work experience, education, certification(s), training, skills, and competencies related to the role. Memorial Health also offers a comprehensive benefits plan, which includes paid time off, 401(k) match, and health/ dental/ vision insurance options. All benefits can be found at https://jobs.memorial.health/about/benefits/

If you require a reasonable accommodation to complete this application or participate in the hiring process, please contact [e-mail]. Requests will be handled confidentially.