Medicaid Billing Specialist - Priority Life Care

At Priority Life Care (PLC), we provide you the opportunity to use your talents in a progressive, growing organization that makes a positive difference in the lives of the seniors we serve. Join us in our mission to enhance the lives of seniors, and your own! We think it's time for you to begin your journey with PLC!

At Priority Life Care, our mission is to light the way in senior care, with respect to affordability and independence. POSITION TITLE:

Medicaid Billing Clerk

The Medicaid Billing Clerk will process and follow up on Medicaid billing, review, and process remittance forms to verify proper reimbursement and adjust as necessary.

To our staff we provide:

• Competitive wages
• Exceptional career advancement opportunities through our "Pathway to Promotion" program
• A full range of health plans - including vision and dental!
• SwiftMD - Telemedicine that is available to all employees at no cost!
• Paid holidays and Paid Time Off
• $10,000 Company paid Life Insurance
• Family planning and support services through Maven
• Voluntary Short-Term Disability, Accident Coverage, and Critical Illness
• Confidential Employee Assistance Program
• Retirement savings plans
• Flexible Spending Accounts
• On-demand wages via ZayZoon. No need to wait until payday!
• Employee referral bonuses
• Rewards Program based on Years of Service and PLC Employee of the Year Awards!

ESSENTIAL JOB FUNCTIONS include the following. Other duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Checks to ensure that community census is correct for current billing.
• Verifies correct Medicaid coding to ensure prompt payment.
• Inputs correct billing information and transmits electronically to the Medicaid carrier.
• Consults with claim clerks in the Medicaid office about any disputed claims and follows up on all bills not processed within usual claim period.
• Notify supervisor and Executive Director of any unresolved billing error and/or denials.
• Reviews remittance advice forms to determine any adjustments made to bills as submitted post remittance in PCC.
• Prepares weekly and monthly reports as directed of Medicaid billing and remit for supervisor for the Controller's office.
• Attends training to keep abreast of changes in Medicaid billing procedures and attends annual in-services (fire, safety, and infection control.)

EDUCATION and EXPERIENCE an equivalent combination of education, training and experience will be considered.

• Two years of experience in clerical/office support work and/or education at the high school or post-high school level in English, spelling, keyboarding, computers, business, or office practices

Check us out on our website: www.prioritylc.com

Priority Life Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

$40,000-45,000/year

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