Senior Medicaid Support Specialist Position Available In Sumner, Tennessee

• You Matter
• Make a difference every day in the lives of the underserved
• Join a mission driven organization with a people first culture
• Excellent career growth opportunities
• Join us and find a career that supports:
• Caring for overlooked, underserved, and vulnerable patients
• Diversity, equity, inclusion, and belonging
• Autonomy in a warm team environment
• Growth and training
• Perks and Benefits
• In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including:
• DailyPay, receive your money as you earn it!
• Tuition Assistance and dependent Scholarships
• Employee Assistance Program (EAP) including free counseling and health coaching
• Company paid life insurance
• Tax free Health Spending Accounts (HSA)
• Wellness program featuring fitness memberships and product discounts
• Preferred banking partnership and discounted rates for home and auto loans
• Eligibility for perks and benefits varies based on employee type and length of service.
• Why Us
• Now is your moment to make a difference in the lives of the underserved.
• If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society’s most vulnerable and often overlooked individuals.

Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time. Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support.

• How you make a difference
• The Senior Medicaid Support Specialist performs QA audits and process improvement analysis.
• Key Responsibilities
• + Provide expertise and support to field staff on Medicaid enrollment and eligibility.

+ Escalate issues to departmental leadership as needed and communicate changes related to Medicaid eligibility and enrollment. + Coordinate with operations, utilization management, and claims to ensure proper reimbursement by Medicaid or other payers. + Assist in the development and communication of Key Performance Indicators (KPIs) that reflect internal and external goals. + Ensure compliance with Medicaid policies and procedures.

• Qualifications & Requirements
• Education + Bachelor’s degree preferred. Experience + 2-3 years of experience with Medicaid/ Private insurance billing or enrollments. + 2-3 years of experience with analyzing data, creation of reports and converting for meaningful use for internal and external clients. + 1-2 years of experience with payment integrity and recoupments experience.
• We are an Equal Employment Opportunity Employer
• We are committed to fostering, cultivating, and preserving a culture of uniqueness. We celebrate a variety of backgrounds and are committed to creating an inclusive environment for all employees.
• We encourage you to apply!
• If you are excited about a role but your experience doesn’t seem to align perfectly with every element of the job description, we encourage you to apply.

You may be just the right candidate for this, or one of our many other roles. Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description. We are an Affirmative Action Employer in accordance with applicable state and local laws. (https://careers-wellpath.icims.com/jobs/176455/senior-medicaid-support-specialist-%28hourly%29/job?mode=apply≈ply=yes∈_iframe=1&hashed=-336175207)

• Need help finding the right job?
• We can recommend jobs specifically for you!
• Job•_25-176455_ •Facility•_TN Heath Cost Solutions_ •Type•_Full-Time_ •Shift•_Day 8 hour_ •

Recruiter :

Full Name:

First Last

• _Jacee Munns_

• Recruiter :

  Email

• _JMunns@Wellpath.

us_