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  • Senior Medicaid Support Specialist

    Wellpath (Hendersonville, TN)



    Apply Now

    You Matter

    • Make a difference every day in the lives of the underserved

    • Join a mission driven organization with a people first culture

    • Excellent career growth opportunities

    Join us and find a career that supports:

    • Caring for overlooked, underserved, and vulnerable patients

    • Diversity, equity, inclusion, and belonging

    • Autonomy in a warm team environment

    • Growth and training

     

    Perks and Benefits

    In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including:

    • DailyPay, receive your money as you earn it!

    • Tuition Assistance and dependent Scholarships

    • Employee Assistance Program (EAP) including free counseling and health coaching

    • Company paid life insurance

    • Tax free Health Spending Accounts (HSA)

    • Wellness program featuring fitness memberships and product discounts

    • Preferred banking partnership and discounted rates for home and auto loans

    *Eligibility for perks and benefits varies based on employee type and length of service.

     

    Why Us

     

    Now is your moment to make a difference in the lives of the underserved.

     

    If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time.

     

    Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan.

     

    We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support.

     

    How you make a difference

     

    The Senior Medicaid Support Specialist provides guidance and technical support to field staff on Medicaid enrollment and eligibility. The role communicates policy updates, escalates issues to leadership, and helps coordinate efforts between operations, utilization management, and claims. Responsibilities include analyzing financial impacts, preventing unnecessary offsite costs, and supporting compliance with Medicaid billing standards. The specialist assists with developing, maintaining, and reporting Key Performance Indicators (KPIs). They play a critical role in ensuring efficient billing processes and improving organizational reimbursement outcomes.

    Key Responsibilities

    + Provide expertise and support to field staff on Medicaid enrollment and eligibility

    + Escalate issues and communicate changes in Medicaid policies to internal teams

    + Coordinate with operations, utilization management, and claims to prevent non-reimbursed costs

    + Assist with the development, maintenance, and communication of KPIs

    + Support process improvement initiatives related to Medicaid billing and reimbursements

     

    Qualifications & Requirements

    EDUCATION

    + Bachelor’s degree required.

    EXPERIENCE

    + 3+ years of experience with Medicaid/Private insurance billing or enrollments.

    + 3+ years of experience with analyzing data, creating reports, and converting for meaningful use for internal and external clients.

    + 1-2 years of experience with payment integrity and recoupments experience.

    + 1-2 years of experience with presentations and developing training materials.

    + Hospital billing experience preferred.

    LICENSES/CERTIFICATIONS

    + None required.

     

    We are an Equal Employment Opportunity Employer

     

    We are committed to fostering, cultivating, and preserving a culture of uniqueness.

     

    We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees.

     

    **We encourage you to apply!** If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles.

     

    Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description.

     

    We are an Affirmative Action Employer in accordance with applicable state and local laws.

     

    Quick Apply (https://careers-wellpath.icims.com/jobs/176814/medicaid-support-senior-specialist/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336175207)

     

    Need help finding the right job?

     

    We can recommend jobs specifically for you!

     

    **Job** _25-176814_

    **Facility** _TN Heath Cost Solutions_

    **Type** _Full-Time_

    **Shift** _Day 8 hour_

    **Recruiter : Full Name: First Last** _Jacee Munns_

    **Recruiter : Email** [email protected]_

     


    Apply Now



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    Wellpath (Hendersonville, TN)
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