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Title

Medicaid Billing Specialist 

Description

Purpose: The primary responsibility of this position will be to check Medicaid websites for Medicaid coverage on our clients and update our EMR paying close attention to clients with Spenddown. Medicaid spenddown clients must be checked frequently to identify if a spenddown is met or if a client is in a new spenddown period. This will be a priority to ensure revenue is booked and billed correctly.

Accountabilities:

  • Check multiple Medicaid websites for client eligibility and enter information into EMR daily.
  • Work with electronic files on Medicaid websites.
  • Maintain separate tracking of Medicaid spenddown clients on a spreadsheet as well as where the client is periodically with their spenddown.
  • Ensure that the correct billing pay source is assigned to any client who has a current spenddown.
  • Responsible to ensure that a client is moved to their MCO pay source when their spenddown is satisfied.
  • Responsible to track and record volume and data on spreadsheets for weekly submission to manager.
  • Responsible to rebill previously unbilled services to Medicaid if/when retro eligibility is established.
  • Responsible to make billing adjustments as necessary on Medicaid client accounts.
  • Responsible to professionally communicate information on clients Medicaid eligibility times to various parties/departments to facilitate continuous eligibility.
  • Responsible for high level of accuracy in daily work completed.
  • Assist with other reimbursement related functions as time allows.
 
Position Requirements

Qualifications:

  • Possess a high diploma or equivalent
  • Familiarity with Medicaid and/or other medical insurance is preferred.
  • Must be comfortable with high volume routing repetative tasks.
  • Must have good computer keyboard skills, proficient in Microsoft platforms, and be able to navigate the internet easily.
  • Must be able to work independently meeting weekly verification targets.
  • Must be able to communicate effectively and timely with staff and management
 
Full-Time/Part-Time Full-Time  
Shift Days  
Hours 8:00am-4:30pm  
Pay Range  
Division Wyandot Behavioral Health Network, Inc.  
Number of Openings 1  
About the Organization Wyandot Behavioral Health Network (Wyandot BHN) is a family of organizations serving the behavioral health needs of Wyandotte County, Kansas, and beyond.

Our network of organizations provides resources for adults, children and families in need of behavioral health services; individuals experiencing homelessness; assistance with housing, employment, and other needs.

Wyandot BHN organizations include:

• Kim Wilson Housing, Inc. - Supportive housing program
• RSI - 24/7 Crisis Center
• PACES - Children & adolescents behavioral health care center
• Wyandot Center - Adult behavioral health care center  
EOE Statement Wyandot Behavioral Health Network's family of organizations: Kim Wilson Housing, PACES, RSI and Wyandot Center is an Equal Opportunity Employer.

It is the policy of Wyandot Behavioral Health Network to provide equal employment opportunity to all persons, regardless of race, color, religion, national origin, ancestry, sex/gender (to include orientation, identity or expression), disability, handicap, age, or any other basis prohibited by law. Any act of retaliation or discrimination against any person who has filed a complaint or assisted or participated in any investigation involving a complaint is prohibited.
 

This position is currently not accepting applications.

To search for an open position, please go to http://WyandotInc.appone.com



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