Medicaid Billing Specialist

4 weeks ago


Granite City, United States Gateway Regional Medical Center Full time
Job DescriptionJob Description

We are Gateway Regional Medical Center. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.

We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities.

WHAT WE OFFER

  • Essential/stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members (including Full-Time and Part-Time) can benefit from.
  • Hourly pay is negotiable based on experience. We offer competitive market pay and opportunities for bonus depending on great work performance (bonuses only apply for Full Time).
  • Comprehensive Employee Benefits: Full-Time employees are eligible for various plans for medical, dental, and vision insurance.

Job Objective:

Under the direction of the Director of Revenue Cycle or designee, the Medicaid Billing Specialist ensures all traditional Medicaid and Medicaid Managed Care claims are reviewed for claim edits, claim submission, and timely follow up.


Duties and Responsibilities:

  • Validate and make corrections on the UB04 resolving all claim edits before claim submission
  • Review claims before submission for missing modifiers, charges, and/or implants
  • Validate pharmacy quantities are reflected on the claim correctly
  • Validate claim against the coding abstract to ensure accurate billing of procedures
  • Review 24 and 72-hour admission report combining claims, as needed
  • Split inpatient claims as appropriate, per carrier guidelines
  • Submit claims to carriers with the appropriate remarks and/or attachments
  • Run insurance eligibility as needed
  • Other billing assignments, within skillsets and abilities

Experience

  • Minimum 2-years Medicaid billing experience in an acute care facility
  • Working knowledge of Common Procedural Terminology (CPT) and ICD10 Codes
  • Working knowledge of Federal, State, Commercial, and County billing guidelines



  • Neptune City, United States United Methodist Communities Home Office and Affordable Housing Full time

    Job DescriptionJob DescriptionMedicare-Medicaid Billing SpecialistRemote/Hybrid | Full Time Days | 8:30am-5pm** Pay rate up to $69,622/year, based on experience **United Methodist Communities is seeking a Medicare-Medicaid Billing Specialist.The Medicare/Medicaid Billing Specialist is responsible for the reviewing, scrubbing, submission, recordings, and...

  • Billing Specialist

    4 weeks ago


    Granite City, United States Gateway Regional Medical Center Full time

    Job DescriptionJob DescriptionWe are Gateway Regional Medical Center. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.We service a multitude of patients and their families across our vast network, while remaining committed to the...

  • Billing Specialist

    4 weeks ago


    Oklahoma City, United States Remedi SeniorCare Full time

    DescriptionRemedi SeniorCare is looking for a Billing Specialist!Whether you are ready for a change from the typical retail pharmacy environment or already have long term care pharmacy experience, if you are a Pharmacy Technician with 2 years of experience, we are looking for you!What we offer:Guaranteed HoursCutting-edge, closed-door facility designed for...

  • Billing Specialist

    4 weeks ago


    Oklahoma City, United States Remedi SeniorCare Full time

    DescriptionRemedi SeniorCare is looking for a Billing Specialist!Whether you are ready for a change from the typical retail pharmacy environment or already have long term care pharmacy experience, if you are a Pharmacy Technician with 2 years of experience, we are looking for you!What we offer:Guaranteed HoursCutting-edge, closed-door facility designed for...


  • Granite City, United States Gateway Regional Medical Center Full time

    Job DescriptionJob DescriptionWE ARE GATEWAY REGIONAL MEDICAL CENTER!Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.We service a multitude of patients and their families across our vast network, while remaining committed to the...

  • Billing Specialist

    1 month ago


    Oklahoma City, OK, United States Remedi SeniorCare Full time

    DescriptionRemedi SeniorCare is looking for a Billing Specialist!Whether you are ready for a change from the typical retail pharmacy environment or already have long term care pharmacy experience, if you are a Pharmacy Technician with 2 years of experience, we are looking for you!What we offer:Guaranteed HoursCutting-edge, closed-door facility designed for...

  • Billing Specialist

    2 weeks ago


    Oklahoma City, United States TEKsystems Full time

    Description:The Billing Specialist is responsible for accurate and timely billing for all customers.- Achieves department goals in volume, production, quality, and customer service.- Performs Medicaid eligibility checks as required for accurate monthly billing and prepares monthly billing statements.- Creates pre-bills and review for accuracy multiple times...


  • Granite City, United States Gateway Regional Medical Center Full time

    Job DescriptionJob DescriptionWe are Gateway Regional Medical Center. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.We service a multitude of patients and their families across our vast network, while remaining committed to the...


  • Granite City, United States Gateway Regional Medical Center Full time

    We are Gateway Regional Medical Center. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff,...


  • Granite City, United States Gateway Regional Medical Center Full time

    Job DescriptionJob DescriptionWe are Gateway Regional Medical Center. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.We service a multitude of patients and their families across our vast network, while remaining committed to the...

  • Medicaid Advocate

    2 weeks ago


    Haltom City, Texas, United States OPCO Skilled Mangement Full time

    Job Type: Full-Time. Benefits Offered: Healthcare Dental Vision PTO 401K Your Job Summary: The Medicaide Advoctage will be responsible for reviewing the Medicaid Pending applications and Medicaid renewals for assigned facilities to ensure Medicaid eligibility to obtain timely coverage and approvals. Provides ongoing support to Regional AR staff, BOM and ABOM...


  • Oklahoma City, United States Bearmountainhc Full time

    Are you a Nursing Home Medicaid EXPERT? Bear Mountain Healthcare is currently seeking a full time Medicaid Pending Specialist to assist in the completion of Medicaid applications, conversions, and reviews in various facilities in Massachusetts. Duties include: · Responsible for working Pending Medicaid applications and re-determinations in order to ensure...

  • Billing Manager

    5 days ago


    Granite City, United States Gateway Regional Medical Center Full time

    Job DescriptionJob DescriptionWe are Gateway Regional Medical Center. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.We service a multitude of patients and their families across our vast network, while remaining committed to the...

  • Billing Manager

    1 month ago


    Granite City, United States Gateway Regional Medical Center Full time

    Job DescriptionJob DescriptionWe are Gateway Regional Medical Center. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.We service a multitude of patients and their families across our vast network, while remaining committed to the...

  • Billing Specialist

    1 week ago


    Iowa City, United States University of Iowa Full time

    The Billing Specialist is responsible for managing the billing process for the Scanlan Center for School Mental Health Clinic (75%) and Belin Blank Center Clinic (25%), ensuring compliance with insurance requirements, and providing financial counseling to clients. The billing specialist works closely with the clinic supervisors, the staff, and the...


  • Oklahoma City, United States Variety Care Full time

    Department: Billing Position: Collection Specialist Employee Category: Non-Exempt Reporting Relationship: Manager of Revenue Cycle Management Character First qualities: * Decisiveness- The ability to recognize key factors and finalize difficult decisions. * Dependability- Fulfilling what I consented to do, even if it means unexpected sacrifice *...

  • Insurance Specialist

    1 month ago


    Granite City, United States Gateway Regional Medical Center Full time

    We are Gateway Regional Medical Center. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision. We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff,...


  • Texas City, United States Galveston County Health District Full time

    Type:Full Time - Salary/Pay Rate:Hourly Rate: $20.00 - $22.00 - Posted Date:04/15/2024 1:57 PM **Coastal Health & Wellness** is Galveston County’s Community Health Center, with clinics in Texas City and Galveston. We also service TCISD students and employees. First established in 1970 and then called Galveston County Coordinated Community Clinics...


  • Texas City, United States Galveston County Health District Full time

    **Coastal Health & Wellness** is Galveston County’s Community Health Center, with clinics in Texas City and Galveston. We also service TCISD students and employees. First established in 1970 and then called Galveston County Coordinated Community Clinics (4C’s), we provide high quality healthcare to all - offering primary care, prenatal, dental, and...

  • Billing Specialist I

    4 weeks ago


    Granite City, United States Gateway Regional Medical Center Full time

    Job DescriptionJob DescriptionWE ARE GATEWAY REGIONAL MEDICAL CENTER!Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.We service a multitude of patients and their families across our vast network, while remaining committed to the...