Medicaid Billing Specialist | Ka Consulting

With over 120 offices and nearly 7,000 associates in major metropolitan areas and suburban cities throughout the U.S. CBIZ (NYSE: CBZ) delivers top-level financial and employee business services to organizations of all sizes, as well as individual clients, by providing national-caliber expertise combined with highly personalized service delivered at the local level.
CBIZ has been honored to be the recipient of several national recognitions:
* 2022 Best and Brightest Companies to Work for in the Nation
* 2023 Top Workplaces USA
* 2022 America's Best Mid-Size Employers
* 2022 Best and Brightest Companies in Wellness
* 2022 Great Place to Work Certification
CBIZ Benefits & Insurance Services is a division of CBIZ, Inc., providing benefits consulting, HRIS technology, payroll, human capital management, property and casualty, talent and compensation solutions, and retirement plan services to organizations of all sizes. CBIZ is ranked as a Top 20 Largest Broker of U.S. Business (Business Insurance Magazine) and a Top 100 Retirement Plan Adviser (PLANADVISER).
Essential Functions and Primary Duties:
* Assisting patients in applying for financial assistance through Medicaid on behalf of our client facility.
* Interviewing patients or authorized representatives via phone or in-person to gather information to determine eligibility for medical benefits.
* Obtaining, verifying, and calculating income and resources to determine client financial eligibility.
* Documenting case records using automated systems to form a record for each client.
* Following up with applicants to obtain accurate and complete information within strict timeframes.
* Completing/following up on all forms related to Medicaid eligibility.
* Performing any additional tasks related to the position assigned by the Manager.
* Claims denial management
* Following-up on unpaid claims to ensure proper financial reimbursement from insurance payors
* Responsible for assessing the accuracy of claims and performing corrections to ensure timely and accurate billing/collections of accounts
* Performs monthly review of accounts receivable
* Responsible for communicating and resolving escalated billing i
Preferred Qualifications:
* Bachelor's degree.
* Knowledge of Medicaid and Charity Care.
* Experience working in a hospital environment.
* Ability to speak and read Spanish.
Minimum Qualifications:
* High school diploma/GED.
* Must be ambitious and self-directed in a fast-paced environment and can perform in a high volume, multitasking setting.
* Must be trustworthy, professional, detail and goal oriented.
* Must have exceptional customer service and excellent verbal/written communication skills.
* Must be able to learn and work with Medicaid eligibility regulations.