Medicaid Claims Management Specialist
2 weeks ago
Curis Services - Medicaid Claims Management Specialist SUMMARY: The Medicaid Claims Management Specialist is responsible for reviewing, investigating, and following up on various insurance claims to ensure proper processing and resolution.
KEY RESPONSIBILITIES:
- Adhere to established accounting protocols for the processing of insurance claims.
- Verify the accuracy of information submitted for claims.
- Monitor the status of claims processing, including recorded payments and adjustments in the billing system.
- Maintain precise records and ensure billing systems are current.
- Manage and submit appeals, including calls and emails, to secure insurance coverage payments.
- Conduct follow-ups on payments, ensuring proper collection and allocation as necessary.
- Execute the collections follow-up process in line with established guidelines.
- Research and resolve denied claims promptly.
- Investigate and address customer inquiries, providing communication via phone, email, or in person.
- Assist in the preparation of monthly statements or as directed by management.
- Perform additional duties as assigned.
QUALIFICATIONS: To excel in this role, candidates must demonstrate the ability to fulfill each essential duty effectively. The following qualifications are essential:
- Experience in the Long Term Care sector is preferred.
- Proficiency in Managed Medicaid billing practices.
- Familiarity with the Point Click Care (PCC) billing system is advantageous.
PHYSICAL REQUIREMENTS: The physical demands outlined are representative of those required to successfully perform the essential functions of this position. Reasonable accommodations may be made for individuals with disabilities.
- Ability to move intermittently throughout the workday.
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Medicaid Claims Management Specialist
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Lincolnwood, Illinois, United States Curis Services Full timeCuris Services - Medicaid Claims Management Specialist SUMMARY: The Medicaid Claims Management Specialist is responsible for reviewing, investigating, and following up on various insurance claims to ensure proper processing and resolution. KEY RESPONSIBILITIES:Adhere to established accounting protocols for the processing of insurance claims.Verify the...
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Medicaid Claims Management Specialist
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Lincolnwood, Illinois, United States Curis Services Full timeCuris Services - Medicaid Claims Management Specialist SUMMARY:The Medicaid Claims Management Specialist is responsible for the thorough review, investigation, and follow-up of various insurance claims. KEY RESPONSIBILITIES:Adhere to established accounting protocols for the processing of insurance claims.Verify the accuracy of information prior to claim...
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