• Medicaid Coordinator

    Insight Global (Sarasota, FL)


    Job Description

    Insight Global is seeking a candidate that can manage billing collection for Medicaid account receivables, aiming to minimize outstanding accounts and maximize cash flow. This candidate will be responsible for working about 100 accounts per day. Additionally, this person will review, process, and correct electronic claims using AccessANYware, SSI, and DDE software systems to ensure timely reimbursement. Resolves RTP and denied claims, and maintains the electronic Medicaid billing system. Coordinates and updates CM and DDE billing updates, billing tables, and system edits to optimize electronic capabilities. Runs job streams, generates, and evaluates electronic Medicaid billing reports. Educates and trains staff on electronic claims submissions. Stays informed on changes to Medicaid billing regulations and compliance issues. Responds to incoming calls and assists walk-in patients.

     

    We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

     

    Skills and Requirements

    High School Diploma/GED

    4 years of Medicaid billing and collections experience

     

    2+ years of hospital billing experience

     

    DDE - Direct Data Entry experience

     

    Knowledge of a UB 04 form Experience with denials and appeals

     

    Knowledge of ICD-9, ICD-10, and CPT codes

     

    Experience using SSI billing system

     

    Previously used Allscripts or AM/PFM