OptumServe and Medicaid Expert

5 days ago


Greenville, South Carolina, United States Community Enterprises Full time
Job Title: OptumServe and Medicaid Expert

Estimated Salary: $55,000 - $70,000 per year.

About the Role

We are seeking an experienced OptumServe and Medicaid expert to join our team at Community Enterprises. As an OptumServe and Medicaid Expert, you will be responsible for managing and processing medical claims for VA through OptumServe and Medicaid via the SCDHHS/DDSN portal.

You will ensure accurate and timely submission of claims on a weekly basis, educate and train company owners on billing processes and best practices, maintain up-to-date knowledge of billing regulations and compliance standards, and collaborate with internal teams to resolve billing issues and optimize processes.

Key Responsibilities
  • Manage and process medical claims for VA through OptumServe and Medicaid via the SCDHHS/DDSN portal.
  • Educate and train company owners on billing processes and best practices.
  • Maintain up-to-date knowledge of billing regulations and compliance standards.
  • Collaborate with internal teams to resolve billing issues and optimize processes.
Qualifications
  • Proven experience in medical billing, specifically with VA (OptumServe) and Medicaid (SCDHHS/DDSN).
  • Proficiency with the Medicaid portal and electronic billing systems.
  • Strong attention to detail and organizational skills.
  • Excellent communication abilities, both verbal and written.
  • Ability to work independently and as part of a team.
Why Join Us

We offer a competitive compensation package, flexible work environment, and opportunities for career advancement within a family-owned and operated company. Our team is dedicated to delivering exceptional service to our clients while fostering a supportive and growth-oriented environment for our staff.



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