Healthcare Enrollment and Revenue Specialist

3 hours ago


Pittsburgh, Pennsylvania, United States Community LIFE Full time
Job Summary

Community 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 Nursing Facility, Long Term Care, or PACE programs.

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 accounts receivable.
  • Coordinate benefits and ensure timely payment for participants.
  • Collaborate with the team to resolve any issues or discrepancies.
Requirements
  • High School Diploma or GED required; Bachelor's Degree in Accounting or Finance desirable.
  • Two years of experience in accounts receivable or Medicaid, specifically in a healthcare environment.
  • Strong knowledge of accounting practices and procedures, as well as Medicaid regulations.
  • Excellent organizational, communication, and teamwork skills.
Preferred Qualifications
  • Experience reviewing PA 162 Forms.
  • Experience using the Promise System, CMS MARX, and HPMS systems.
  • Experience using Sage 100c.
What We Offer

Community LIFE offers a competitive salary, a generous benefit package, including medical, dental, and vision insurance, life insurance, short-term and long-term disability insurance, paid time off, paid holidays, and more.



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