Managed Medicaid Specialist

4 months ago


Lincolnwood, United States Curis Services Full time
Curis Services -

Medicaid Managed Care Specialist SUMMARY:The Medicaid managed Care Specialist works to review, investigate and follow-up on various insurance claims.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Ensure that established accounting procedures are followed for processing insurance claims
  • Checking for accuracy of information for claim submission.
  • Monitoring claims processing status, recorded payments and adjustments within the billing system.
  • Maintain accurate records, up to date billing systems
  • Managing and submitting appeals, calls, emails and other efforts to obtain insurance coverage payment.
  • Follow-up on, collect and allocate payments as applicable
  • Performing collections follow-up process in accordance with established procedures.
  • Research and Resolve denied claims in a timely fashion
  • Investigate and resolve customer queries and communicate with customers via phone, email, mail or personally
  • Assist with preparation of monthly statements, or as requested by supervisor
  • Other duties as assigned

 

QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill, and/or ability required.

  • Experience in Long Term Care industry, preferred
  • Experienced in Managed Medicaid billing
  • Experience in Point Click Care (PCC) billing system is preferred

 

PHYSICAL DEMANDS: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Must be able to move intermittently throughout the workday.

 



  • Lincolnwood, Illinois, United States Nivram Management Full time

    Key Responsibilities:As a Hospital Liaison Specialist at Nivram Management, you will be responsible for developing and implementing strategies to increase census and improve admissions. This will involve marketing our facilities to hospitals, community healthcare providers, and discharge planners, as well as overseeing internal admissions and managing...


  • Lincolnwood, Illinois, United States Home Care Powered by AUAF Full time

    About Our CompanyHome Care Powered by AUAF is a leading non-profit organization providing non-medical, in-home services for over 30 years. Our mission is to deliver high-quality, in-home care that enables seniors to live comfortably and independently in their own homes.About the PositionThe Medical Billing Manager will work in a fast-paced environment,...


  • Lincolnwood, United States Home Care Powered by AUAF Full time

    About Our CompanyHome Care Powered by AUAF is a fast growing, non-profit organization providing non-medical, in-home services for over 30 years. Our mission is to provide quality, in-home service that will allow seniors to live comfortably and independently in the familiarity of their own home.About the PositionThe Medical Billing Manager works in a...


  • Lincolnwood, Illinois, United States Home Care Powered by AUAF Full time

    About Our CompanyHome Care Powered by AUAF is a leading provider of non-medical, in-home services for seniors. Our mission is to deliver high-quality care that enables individuals to live comfortably and independently in their own homes.Job SummaryThe Medical Billing Manager will oversee the billing and claims process, ensuring accuracy, timeliness, and...


  • Lincolnwood, Illinois, United States Hyundai of Lincolnwood Full time

    We are seeking a highly skilled Warranty Claims Specialist to join our team at Hyundai of Lincolnwood. As a key member of our automotive group, you will be responsible for ensuring accurate and timely payment for warranty work at our assigned dealerships.Key Responsibilities:Prepare, flag, submit, and follow up on each warranty claim to ensure timely...


  • Lincolnwood, United States Nivram Management Full time

    Job Title: Regional Nurse Consultant (RN) Location: Covering Four Chicagoland Nursing Home Facilities Job Type: Full-time Reports To: Executive Leadership/Corporate Management Job Summary: We are seeking an experienced and highly skilled Regional Nurse Consultant (RN) to lead and oversee the clinical operations and nursing practices across four nursing home...


  • Lincolnwood, Illinois, United States Client First Full time

    Job SummaryClientFirst is a management consulting firm seeking a skilled Senior IT Support Specialist to join our team. As a key member of our support team, you will be responsible for providing top-notch technical assistance to our clients.Key ResponsibilitiesProvide desktop support and administration for a variety of public and private sector...


  • Lincolnwood, Illinois, United States EmbassyHRC, Inc Full time

    Job Title: Licensed Cosmetologist – Hair Replacement SpecialistLocation: EmbassyHRC, IncCompany Overview:EmbassyHRC, Inc is a restoration business specializing in personalized hair replacement solutions. With a commitment to high-quality services and a strong reputation, our expert team helps men, women, and children regain their confidence and well-being...

  • Hospital Liaison

    2 weeks ago


    Lincolnwood, United States Nivram Management Full time

    Looking for a dynamic individual that has the ability to gain the confidence of the leaders within the healthcare industry. Do you enjoy networking and bridging the gap between hospitals and Nursing facilities? Do you have that persistent winning personality that we are looking for? Then this is the place for you!Hospital Liaison We are currently seeking a...

  • Hospital Liaison

    2 days ago


    Lincolnwood, United States Nivram Management Full time

    Looking for a dynamic individual that has the ability to gain the confidence of the leaders within the healthcare industry. Do you enjoy networking and bridging the gap between hospitals and Nursing facilities? Do you have that persistent winning personality that we are looking for? Then this is the place for you!Hospital Liaison We are currently seeking a...


  • Lincolnwood, United States Nivram Management Full time

    Looking for a dynamic individual that has the ability to gain the confidence of the leaders within the healthcare industry. Do you enjoy networking and bridging the gap between hospitals and Nursing facilities? Do you have that persistent winning personality that we are looking for? Then this is the place for you!Hospital/Psych Liaison We are currently...


  • Lincolnwood, United States Nivram Management Full time

    Looking for a dynamic individual that has the ability to gain the confidence of the leaders within the healthcare industry. Do you enjoy networking and bridging the gap between hospitals and Nursing facilities? Do you have that persistent winning personality that we are looking for? Then this is the place for you!Hospital/Psych Liaison We are currently...

  • Hospital Liaison

    3 weeks ago


    Lincolnwood, United States Nivram Management Full time

    Looking for a dynamic individual that has the ability to gain the confidence of the leaders within the healthcare industry. Do you enjoy networking and bridging the gap between hospitals and Nursing facilities? Do you have that persistent winning personality that we are looking for? Then this is the place for you!Hospital Liaison We are currently seeking a...

  • Mixology Expert

    1 month ago


    Lincolnwood, Illinois, United States Stefani Prime Full time

    We are seeking a skilled Mixology Expert to join our team at Stefani Prime. As a Bar Service Specialist, you will be responsible for providing exceptional customer service and ensuring a seamless experience for our patrons. Your expertise in crafting traditional and creative cocktails will be a valuable asset to our bar team.Responsibilities:Manage customer...


  • Lincolnwood, IL, United States Home Care Powered by AUAF Full time

    About Our CompanyHome Care Powered by AUAF is a fast growing, non-profit organization providing non-medical, in-home services for over 30 years. Our mission is to provide quality, in-home service that will allow seniors to live comfortably and independently in the familiarity of their own home.About the PositionThe Medical Billing Manager works in a...


  • Lincolnwood, United States FastSigns Full time

    Sign makers work in a dynamic, fast-paced and collaborative environment to create and assemble sign and graphic products for many different business applications. Creative work is performed within the FASTSIGNS Center sign production area which is fully equipped with top-of-the-line sign-making equipment. Position requirements include cutting printed...


  • Lincolnwood, Illinois, United States Hyundai of Lincolnwood Full time

    Job OpportunityLeader Automotive Group, a subsidiary of AutoCanada, is seeking a talented individual to join our team as a Warranty Administrator. As a key member of our organization, you will play a crucial role in ensuring the timely and accurate payment of warranty claims for our dealerships.We are committed to hiring the best people who can help us...


  • Lincolnwood, United States Addison Group Full time

    About the Company: This organization is dedicated to delivering excellent service by managing financial operations for its residents with precision and care. The team is committed to building strong relationships and providing seamless support to facilities and clients, ensuring timely collections and payment coordination.About the Role: The Financial...

  • Restorative Nurse

    4 weeks ago


    Lincolnwood, Illinois, United States Nivram Management Full time

    We are seeking a skilled Restorative Nurse to join our care-giving team at Nivram Management. The ideal candidate will be responsible for developing and implementing restorative care programs, working closely with the interdisciplinary team to ensure high-quality patient care.Key Responsibilities:Develop, organize, and implement restorative care programs to...


  • Lincolnwood, Illinois, United States Hyundai of Lincolnwood Full time

    About Hyundai of LincolnwoodWe are a leading automotive dealership in the Chicagoland area, committed to providing exceptional customer service and a wide range of high-quality vehicles. Our team is dedicated to helping you find the perfect vehicle for your needs, and we offer a variety of services to ensure your vehicle runs smoothly and efficiently.Job...