What are the responsibilities and job description for the Medicaid Analyst position at Phoebe Ministries?
Job Description
Phoebe Ministries is hiring an experienced Full-Time Medicaid Analyst for our Allentown campus.
Phoebe Perks:
- Generous Paid Time Off Program
- Full Benefit Package, including Health, Rx, Dental, Vision and Life Insurance
- Tuition Reimbursement
- Service Award & Recognition Gift Cards
Responsibilities:
The Medicaid Analyst will be responsible for entering PA162’s/MA Approvals for Medicaid Fee for Service and Community Health Choices MA products into the Billing System upon receipt and will manage census line entries to ensure accurate billing. The Analyst will conduct audits and will validate Resident medical expenses and insurance premiums that are submitted to Medicaid as part of the monthly billing cycle. Responsible for the submission of monthly claims and any claim adjustments that may be required based on Medicaid protocols to adjudicate claims. The Medicaid analyst will review, prepare, and submit responses to any Community Health Choices Claim Audit(s). The Analyst will be responsible for the submission of all 180-day exception unit claims. Payments associated with Medicaid will require accurate posting to Resident accounts and the Medicaid Receivable must be managed closely minimize days in AR. The Analyst will update quarterly rates in PCC and will be responsible for managing and responding to CHC Quality Improvement Program monthly data requirements. Effective management of the receivable and reporting of current trends that impact the Medicaid receivable will be required.
Education and Experience:
- Degree or some course work in Business Administration or related course of study preferred.
- Minimum of three (3) years’ experience in related positions required.
- Experience in medical assistance billing.
- Experience in medical claims billing/coding, Experience with insurance follow up processes/procedures, Experience working for a medical insurance company.
Phoebe offers a very competitive starting rate of pay combined with an excellent work environment. Choose Phoebe Ministries and our tradition of excellence today!
Successful candidates are those who thrive in a positive and respectful Customer Driven Culture and exemplify the organization’s Faith in Action Mission, Vision, and Values. Phoebe is an equal opportunity employer.
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