Top 39 Medicaid eligibility specialist Jobs in Georgia

Medicaid Specialist / Collections Specialist
SNF/Rehabilitation Center —Atlanta, GA
- Skilled nursing facility
- HIPAA
- Mid-level
Quick Apply
13d
Insurance Billing Specialist
Waycross Internal Medicine —Waycross, GA
- $17 - $20 an hour
- Full-time
- Background check
- Internal Medicine
- HIPAA
- Paid holidays
- 401(k)
Quick Apply
7d
Virtual Clinical Psychologist - Psy.D. or Ph.D.
PediaStaff —Atlanta, GA
- $75 - $115 an hour
- Choose your own hours
- Experience working with individuals with developmental disabilities
- Writing skills
- Doctor of Philosophy
- Health insurance
- 401(k)
Quick Apply
Medicaid Specialist
Florida Topaz SNF Group —Georgia
- Full-time
- Writing skills
- High school diploma or GED
- Organizational skills
Quick Apply
Medical Debt Collections Call Center Agent
Redmond Regional Medical Center —Rome, GA
- Full-time
- Remote
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
11d
Patient Advocate Specialist - Emory University Hospitals
Patient Funding Alternatives —Atlanta, GA
- From $55,000 a year
- Full-time
- Hybrid work
- Spanish
- 5 years
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
2d
Program Assistant-Medicaid Specialist
Visiting Nurse Health System Inc —Atlanta, GA
- $15.37 - $25.62 an hour
- Full-time
- Microsoft Outlook
- Computer literacy
- Mid-level
Quick Apply
5d
Patient Registration Specialist
Ridgeview Institute Smyrna —Smyrna, GA
- $20 - $26 an hour
- Full-time
- Addiction Medicine
- Basic math
- High school diploma or GED
- Free parking
- Paid holidays
Quick Apply
Customer Service Representative
QUIPT HOME MEDICAL INC —Macon, GA
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
Quick Apply
Medical Records Specialist
Fairview Park Hospital —Dublin, GA
- Full-time
- Entry level
- Under 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
Registrar
Coffee Regional Medical C —Douglas, GA
- Overtime
- Microsoft Word
- 18 years or older
- Spanish
Quick Apply
Front Office Representative - Rheumatology Specialist (Days)
Tanner Health —Villa Rica, GA
- HIPAA
- No experience needed
- High school diploma or GED
Quick Apply
3d
Billing coordinator
Interim HealthCare of Augusta —Augusta, GA
- Full-time
- HIPAA
- Mid-level
- Office
Quick Apply
Quality Senior Analyst
CVS Health —Georgia
- $46,988 - $112,200 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Health insurance
- Dental insurance
4d
AR / Denials Specialist
Summit Spine and Joint Centers —Lawrenceville, GA
- Full-time
- HIPAA
- Mid-level
- Office
- Health insurance
- Paid time off
Quick Apply
Enrollment Specialist, PACE Program, Full-time
HOSPICE SAVANNAH INC —Savannah, GA
- Weekends as needed
- Microsoft Excel
- Skilled nursing facility
- Nursing home
Quick Apply
Conditional Payment Specialist
EXAMWORKS COMPLIANCE SOLUTIONS LLC —Lawrenceville, GA
- $19 - $21 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Basic math
- Dental insurance
- 401(k)
Quick Apply
4d
Medical Claims Recovery Specialist (Subrogation) - Tucker, GA - Hybrid
Gainwell Technologies —Tucker, GA
- $43,500 - $48,000 a year
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Microsoft Access
- Travel reimbursement
- Profit sharing
Registrar PRN
Coffee Regional Medical C —Douglas, GA
- Overtime
- Microsoft Word
- 18 years or older
- Spanish
Quick Apply
Billing and Collections Specialist
GI Care For Kids —Atlanta, GA
- Research
- Mid-level
- 3 years
Quick Apply
10d

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Medicaid Specialist / Collections Specialist

SNF/Rehabilitation Center
Atlanta, GA

Quick Apply

Job Details

13 days ago

Qualifications

HIPAA compliance
Medical office management
Resident's rights
Phone communication
Welfare eligibility determination
Financial statement analysis
HIPAA
Collaborating with government agencies
Mid-level
Patient financial aid assistance
Trust administration
Medicaid health insurance
Customer payment reminders
Cash reconciliation
Document quality checks
Medicaid regulations
Medical claims submission
Filing patient billing claims
Medicaid
Business Administration
Bad debt management
Budgeting
Phone etiquette
Clinical confidentiality policies
Business
Medical debt collection accounts
Emergency evacuation protocols
Payment processing in medical billing systems
Communication skills
Trust accounting

Full Job Description

General Purpose:
The Medicaid Specialist acts as a liaison between patients, skilled nursing facility, and government agencies, ensuring that residents receive the benefits they are entitled to and that applications are processed efficiently and accurately.

Essential Job Functions:
This facility expects their employees to promote an atmosphere of teamwork with other employees, hospitality, and comfort for its residents. Therefore, the following list of duties is not all-inclusive:

Prepare and submit reports on a timely basis as required and directed by Business Office manager, Administrator, this company and governmental agencies.
Secures documentation for Medicaid/MSP new applications and renewal applications if needed for members’ attention to detail by adhering to state requirements and securing supporting documentation.
Collaborates with government offices to accurately complete the application and recertifi- cation process.
Meets daily, weekly, and monthly production goals. Must also meet quality standards by en- suring proper phone etiquette and adherence to scripts, state regulations, HIPAA compli- ance, meet ongoing corporate compliance standards, and make accurate and descriptive documentation.
Review financial statements, check personal information, and analyze eligibility requirements.
Contact Medicaid with problems of recertification and budget determinations.
Accumulate and maintain, in an organized manner, vital statistics relating to admissions, discharges, deaths, transfers and daily census of facility residents.
Bill Medicaid claims weekly.
Responsible for weekly Medicaid billings along with timely follow-up with intermediaries on delinquent payments.
Monitor and manage the accounts receivable collection process.
Pursue past due accounts persistently and maintain proper back-up documentation
Obtain and submit all required documentation to bill third party payers as per program/company guidelines.
Verify that resident trust is accurately recorded.
Provide statistics to audit and reimbursement for year-end • processing.
Maintain an accurate accounting of patient trust funds including monthly reconciliation and quarterly statements to responsible parties. Reconcile petty cash for Patient Trust Fund daily.
Participate in the resident admission process by providing explanations of the facility’s rates, billing cycle and payment terms, including collecting the first month’s advance payment upon admission.

Other Duties:

Attend in-service education programs in order to meet facility educational requirements.
Be familiar with Standard Precautions, Exposure Control Plan, Fire Drill and Evacuation Procedures and know how to use the information.
Maintain confidentiality of resident and facility records/information.
Protect residents from neglect, mistreatment, and abuse.
Others as directed by the supervisor or administrator.

Minimum Qualifications:

Business Degree or experience in health care facility; office management preferred.
Organized and detailed in work performance.
Good communication skills with excellent self-discipline and patience.
Genuine caring for and interest in elderly and disabled people in a nursing facility.
Comply with the Residents’ Rights and Facility Policies and Procedures.
Perform work tasks within the physical demand requirements as outlined below.
Perform Essential Duties as outlined above.

Quick Apply

Refine Your Search

medicaid eligibility specialist jobs in georgia

Medicaid Specialist / Collections Specialist

Insurance Billing Specialist

Virtual Clinical Psychologist - Psy.D. or Ph.D.

Medicaid Specialist

Medical Debt Collections Call Center Agent

Patient Advocate Specialist - Emory University Hospitals

Program Assistant-Medicaid Specialist

Patient Registration Specialist

Customer Service Representative

Medical Records Specialist

Registrar

Front Office Representative - Rheumatology Specialist (Days)

Billing coordinator

Quality Senior Analyst

AR / Denials Specialist

Enrollment Specialist, PACE Program, Full-time

Conditional Payment Specialist

Medical Claims Recovery Specialist (Subrogation) - Tucker, GA - Hybrid

Registrar PRN

Billing and Collections Specialist

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