Medicaid Claims Representative

Irvine, CA | Direct Hire

Job ID: [SA] Medicaid Claims Specialist Industry: Healthcare Pay Rate: $20.00-$24.00

Medicaid Billing Representative

We are seeking a highly dependable, thoughtful and detail oriented Medicaid Billing Representative to join our team. We are two decades strong and continue to work hard each and every day to improve our organization from the competition and continue to grow. We firmly believe that there should be a work and life balance. We offer a positive, friendly and professional environment and are looking for the same in return.

 

As the Medicaid Billing Representative, you will be responsible for researching Medicaid state fee schedules using the Internet, timely completion and submission of pricing and negotiation, re-billing, and other department functions.

You can look forward to: 

  • Contacting state government offices and/or medical providers to confirm rates.
  • Price medical claims using the fee schedule information obtained.
  • Update claim records in our proprietary system.
  • Organize information obtained for future reference.

 

Skills/Experience Preferred

      **Experience with

Medicaid

    **

Experience with medical provider fee schedules.

Experience in medical claim billing.

Experience in claim re-pricing.

Good written and verbal communication.

Ability to quickly navigate Internet sites and large quantities of information.

 

Essentials:

  1. High School diploma or Equivalent, Trade School Diploma/Certificate, Associates Degree in Business or Accounting
  2. Knowledge and understanding of medical billing, rebilling and negotiations.
  3. Minimum two (2) years of experience with Medicare, Medicaid and/or PPO Networks.
  4. Strong communication skills both verbally and written.
  5. Ability to work under pressure and adapt to changing environment.

Benefits:

We offer a competitive benefits package:  401K Match, Medical/Dental/Vision, Accrued Paid Time Off.

A happy work place

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