Principal Responsibilities

• Follow-up with Out-of-State Medicaid billed claims regarding claim status and resolution of payments in a timely manner.
• Thoroughly review all notes in patient accounts for potential benefit eligibility.
• Access client systems to determine eligibility and filing status in order to prepare claims for billing.
• Request necessary documents from client to perform billing.
• Responsible for accurately tracking payments and payment verifications.
• Contact patients when additional information is required to complete billing.
• Provide thorough, efficient, and accurate documentation and updates in all required systems for each work event.
• Dependent upon position, identify root cause of issues and concerns, determine resolution, and refer to Management.
• Knowledge, understanding, and compliance with all applicable Federal, State, and Local laws and regulations relating to job duties.
• Knowledge, understanding, and compliance with company policies and procedures.
• Provide feedback to management concerning possible problems or areas of improvement.
• Make recommendations to implement improved processes.
• Perform other duties as assigned by management.

Experience and Education Requirements

• High School Diploma or General Educational Development (GED) certificate or equivalent relevant work experience desired.
• Previous Out-of State Medicaid billing/customer service experience preferred.
• Proficient personal computer skills, including Microsoft Office.
• Typing speed of 45 - 55 words per minute.
• Attention to details and excellent organizational skills.
• Excellent interpersonal, written, and oral communication skills.
• Ability to work in a team fostered environment.
• Ability to prioritize and organize work in a multitasked environment.
• Ability to adapt to a flexible schedule.
• Ability to maintain the highest level of confidentiality.

Work Environment

• Onsite office environment.
• Ability to lift and/or move 20 pounds with or without accommodation.

Benefits

• PTO
• One personal day annually
• Paid holidays
• 401k with match
• Paid 20K Employee Life Insurance
• Paid Employee Long-Term Disability
• Medical, Vision, Dental
• Short-Term Disability

GetixHealth is an Equal Opportunity and E-Verify Employer.

Experience

• Insurance Follow-up
• Insurance Exp.

Education

• High School or better

Behaviors

• Functional Expert: Considered a thought leader on a subject
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
• Thought Provoking: Capable of making others think deeply on a subject

Motivations

• Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
• Self-Starter: Inspired to perform without outside help