Medicaid Insurance Specialist

4 weeks ago

Lexington Kentucky, United States PepperPointe Partnerships Full time
The Opportunity :
PepperPointe is looking for individuals who are excited by, and thrive in, an environment of impactful change. Our team spirit is evident every day, and we let our passions and creativity foster innovation. We take big swings, set ambitious goals, and challenge each other. 

If you are determined, solutions-oriented, collaborative, and committed to excellence, then we would love to have you join our organization as we work to make a positive impact in the communities we serve. 

PepperPointe Partnerships, a dental service organization, serving orthodontic, pediatric and general dentist clinics throughout Kentucky, is looking for someone to join our Medicaid insurance team.  Prior Medicaid experience is not necessary to be successful in this role. A proficiency in using software to update patients’ files, run and monitor weekly and monthly reports to verify insurance payments received, and upload completed insurance forms into patients’ electronic files is required. This position will work closely with office managers and clinical teams 

A Day In The Life Of :
 

Manage the retainer billing process from pre-authorization, through approval, billing and payment. 

Call patients to communicate denial and explain the reason for the denial and other options available to the patient. 

Follow up with Medicaid on denied cases. 

Scan documents into patient files. 

Submit billing to Medicaid. 

Support other Medicaid team members when they are out of the office. 

What You'll Bring To The Table :
  

Very organized and detail oriented. 

Have experience using spreadsheets. 

Strong work ethic. 

Desire to learn and grow.  

Team player mentality. 

 

We’d Love It If You Also Have 

 

High school degree or GED. 

 

What We’ll Offer In Return  

 

Full-time, hourly position 

Medical, dental, and vision benefits 

401K with company match 

A company culture of promotions from within, with a start-up atmosphere allowing for varied and rapid career development 

 

About PepperPointe Partnerships 

 

PepperPointe Partnerships is a dental service organization (DSO) with an innovative approach to proactively address the challenges and industry changes practitioners face, create efficiencies at the    practice level and provide support with non-clinical tasks, allowing practitioners to focus on providing excellent patient care. PepperPointe seeks to redefine what it means to be a DSO by fully leveraging the strengths and culture of doctor-owned dental practices, and a growth strategy for greater synergy and protection among all dental practitioners. Through the PepperPointe platform, we offer maintained doctor ownership, a collaborative network of doctors, and help clinical teams achieve the greatest success in providing excellent patient care. PepperPointe offers doctors an optimal exit and entry strategy, with partnership opportunities for every career stage, to help preserve and extend the practice legacy, and do so on their terms.  

 

PepperPointe is an equal opportunity employer and committed to creating an inclusive environment for all of our applicants. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All qualified applicants, regardless of personal characteristics, are encouraged to apply. 

This job description is only a summary of the typical functions of the job, not an exhaustive or comprehensive list of all possible responsibilities, tasks, and duties. 

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