What are the responsibilities and job description for the Claims Reimbursement Analyst (Medicaid) position at Medical Associates of NWA?
Overview
Research and resolve insurance billing issues at the time of claims submission, upon receipt of denial or non contracted payment, and refund requests assigned to specific insurance(s) and providers/specialties.
Medicaid analyst is also responsible for researching of all EOBs to ensure accurate posting of payments and application of contractual adjustments; as well as logging and reconciliation of batch id totals to deposits.
About MANA Administration
The MANA Administrative team provides support services for 26 physician-owned medical practices in Northwest Arkansas.
Our mission is to improve the quality of life by providing compassionate, comprehensive, quality healthcare.
Established in 1999 we offer:
- Human Resources
- Population Health
- Marketing
- Credentialing
- Billing
- And More!
Employee Benefits At MANA, you will receive more than just pay. We offer various benefits that matter most to you. MANA team members are eligible to receive benefits. Below are some of our various benefit offerings:
- Comprehensive Benefits –
- Medical & dental
- 401(K) match and profit sharing
- Up to 21.5 paid days off (PDO, EID and Perfect Attendance benefits) & 6 days paid holidays; during your first year of employment
- Employer paid life, long-term & short-term disability benefits
- One-On-One Training and Development
Medical Associates of Northwest Arkansas (MANA) is an equal opportunity employer, and all qualified applicants will receive consideration for employment 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.
Responsibilities
- Respond appropriately to insurance companies' requests for information in a prompt and professional manner.
- Work tasks in assigned queues in a timely and efficient manner.
- Initiate adjustments to accounts promptly upon receipt of explanation of benefits.
- Ensure primary EOB is posted to allow submission of secondary and tertiary claims.
- Ensure insurance is set up correctly in the patient's account in ECW.
Qualifications
Equivalent to four years high school or GED, with particular emphasis during high school in office skills, shop skills, or others, plus 12 to 18 months related experience and/or training, or equivalent combination of education and experience.
