NEMT Utilization Review Specialist

Verida Inc; Villa Rica (GA); On-site; USD 23,000 - 24,000; Full time

Job summary

Verida Inc. in Villa Rica, GA is seeking a Full-Time Admin Support Worker to review member transportation requests and ensure adherence to mileage guidelines within Medicaid-related programs.

The role requires 2+ years in healthcare customer service, strong MS Word/Excel skills, and excellent written and verbal communication. You’ll coordinate with internal departments and clients in a high-demand environment.

Qualifications

• High School diploma or equivalent required.
• Minimum 2 years of customer service experience, preferably in healthcare.
• Knowledge of Medicare/Medicaid concepts is a plus.

Responsibilities

• Review and determine approvals/denials for member transportation beyond mileage guidelines.
• Process subscription/Standing Order transportation requests for approved facilities.
• Prepare daily denial letters, no-show letters, and monthly denial summaries.
• Run monthly denial summary reports and communicate with clients.

Skills

Medicare knowledge

Microsoft Word

Microsoft Excel

Communication skills

Multitasking

Analytical thinking

Interpersonal skills

Education

High School diploma or equivalent

2 years of customer service in healthcare

Tools

Microsoft Word

Microsoft Excel

Job description

Verida Inc. in Villa Rica, GA is seeking a Full-Time Admin Support Worker to review member transportation requests and ensure adherence to mileage guidelines within Medicaid-related programs.

The role requires 2+ years in healthcare customer service, strong MS Word/Excel skills, and excellent written and verbal communication. You’ll coordinate with internal departments and clients in a high-demand environment.