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• Insight Global

  

  Medicaid Service Coordinator

  3 days ago

  Sarasota County

  Hours: M-F, 7:30-3:30, flexible here Must Haves: • High School Diploma/GED, • 4 years of Medicaid billing and collections experience, • 2+ years of hospital billing experience DDE - Direct Data Entry experience, • Knowledge of a UB 04 form Plusses: • Experience with denials and appeals, • Knowledge of ICD-9, ICD-10, and CPT codes, • Experience using SSI billing system, • Previously used Allscripts or AM/PFM Day to Day: Insight Global is seeking a candidate that can manage billing collection for Medicaid account receivables, aiming to minimize outstanding accounts and maximize cash flow. This candidate will be responsible for working about 100 accounts per day. Additionally, this person will review, process, and correct electronic claims using AccessANYware, SSI, and DDE software systems to ensure timely reimbursement. Resolves RTP and denied claims, and maintains the electronic Medicaid billing system. Coordinates and updates CM and DDE billing updates, billing tables, and system edits to optimize electronic capabilities. Runs job streams, generates, and evaluates electronic Medicaid billing reports. Educates and trains staff on electronic claims submissions. Stays informed on changes to Medicaid billing regulations and compliance issues. Responds to incoming calls and assists walk-in patients.