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Medicaid Application Specialist

2 months ago

Jacksonville, North Carolina, United States AMM Healthcare Full time
Position Overview:

The Medicaid Application Specialist plays a crucial role in managing and streamlining the Medicaid application process across various healthcare disciplines. This position is essential for ensuring that eligible patients receive the necessary Medicaid benefits to facilitate reimbursement for services rendered by AMM Healthcare. The specialist serves as a vital link between patients, the organization, and governmental bodies.

Key Responsibilities:
  • Assess and determine patients' existing insurance coverage and eligibility for federal and state assistance programs.
  • Prepare and submit applications, ensuring timely follow-up with patients and government agency representatives to guarantee the efficient processing of all required documentation.
  • Accurately collect and input insurance, demographic, and eligibility data into the system, maintaining comprehensive progress notes in patient files.
  • Collaborate with the Revenue Cycle and Billing teams as necessary.
  • Stay informed about local community resources and support services.
  • Engage in ongoing training programs to enhance skills and knowledge.
  • Adhere to organizational policies and procedures to promote office efficiency, assisting with various administrative tasks as needed.
  • Support management by providing historical data for forecasting purposes.
  • Exhibit excellent verbal and written communication abilities.
  • Demonstrate sound judgment and efficient work habits.
  • Possess strong customer service and interpersonal skills.
  • Maintain basic accounting knowledge and accounts receivable understanding.
  • Exhibit accurate data entry skills and proficient keyboarding abilities.
  • Utilize professional and courteous telephone communication skills.
  • Organize files both numerically and alphabetically.
  • Understand confidentiality protocols and information release procedures.
  • Work independently and manage multiple tasks under pressure.
  • Collaborate effectively as a team member, fostering a positive work environment.
  • Project a professional image to the community.
  • Demonstrate willingness to assist in collecting payments from patients.
Qualifications:

To excel in this role, candidates must meet the following qualifications:
  • Preferred: Associate degree.
  • At least one year of relevant experience in the healthcare sector.
  • Relevant education may be considered in lieu of experience.
Knowledge, Skills, and Abilities:
  • Comprehensive understanding of NC Medicaid programs and eligibility criteria.
  • Ability to effectively communicate and respond to the diverse needs of pediatric, adolescent, adult, and geriatric patients.
  • Self-motivated, analytical, organized, detail-oriented, and capable of multitasking.
Physical Requirements:

This position requires standing, sitting, walking, bending, stretching, reaching, kneeling, talking, and lifting.

Work Environment:
This role is performed in a climate-controlled office setting, involving direct interaction with patients and staff both in person and via phone.

Benefits:
  • 401(k) plan
  • Health, Dental, and Vision insurance
  • Employee assistance program
  • AFLAC coverage
  • Paid time off