Healthcare Enrollment Specialist
1 month ago
Job Summary: We are seeking a highly skilled Healthcare Enrollment and Revenue Specialist to join our team at Community LIFE. The successful candidate will be responsible for overseeing the Medicaid portion of the revenue cycle, analyzing and auditing various Medicaid reports, and ensuring accurate payment for Community LIFE participants.
Key Responsibilities:
- Analyze and audit Medicaid reports to ensure accurate payment for Community LIFE participants
- Receive and process Medicaid enrollment documentation, generate invoices, and monitor and reconcile accounts receivable
- Ensure compliance with Medicaid regulations and guidelines
- Collaborate with the healthcare team to coordinate benefits and services for participants
- Provide excellent customer service and communication to participants, families, and healthcare providers
Requirements:
- High School Diploma or GED required; Bachelor's Degree in Accounting or Finance desirable
- Two years of experience in accounts receivable or Medicaid, preferably in a healthcare environment
- Knowledge of accounting practices and procedures, Medicaid regulations, and Microsoft Office, specifically Excel
Preferred Qualifications:
- Experience reviewing PA 162 Forms, using the Promise System, CMS MARX and HPMS systems, and Sage 100c
What We Offer:
- Competitive salary and benefits package, including medical, dental, and vision insurance, life insurance, short-term and long-term disability insurance, and a 403(b) retirement plan
- Four weeks of paid time off, paid holidays, and mileage reimbursement
- Tuition reimbursement, employee appreciation events, and a supportive work environment
About Us: Community LIFE is a program of all-inclusive care for the elderly, committed to empowering older adults to remain at home while preserving their dignity, independence, and quality of life. Our program brings together geriatric medicine and care experts to work as a team in specialized Day Centers, helping older adults enjoy the highest quality of life possible.
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Healthcare Enrollment and Revenue Specialist
1 month ago
Pittsburgh, Pennsylvania, United States Community LIFE Full timeJob SummaryCommunity LIFE is seeking a skilled Healthcare Enrollment and Revenue Specialist to oversee the Medicaid portion of the revenue cycle. The successful candidate will analyze and audit various Medicaid reports, ensuring accurate payment for Community LIFE participants. This role requires a strong understanding of Medicaid, particularly in Skilled...
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