Medicaid Prior Authorization Coordinator

We are looking for a dedicated Medicaid Prior Authorization Coordinator to join our team! This is a contract opportunity in the healthcare industry, where you will play a vital role in managing Medicaid billing and service authorizations to ensure seamless operations. If you are detail-oriented, experienced in Medicaid billing, and thrive in a collaborative environment, we encourage you to apply.

Responsibilities:

Organize and maintain documentation and digital records for Medicaid service authorizations and billing rates.

Make real-time updates to the billing system when resident information, authorization details, or fee structures change.

Monitor expiring authorizations and initiate the renewal process to guarantee uninterrupted claims processing and reimbursement.

Track and record relevant Medicaid data, including resident rosters, authorization periods, billable services, and financial obligations.

Enter and reconcile incoming Medicaid payments within the billing platform.

Prepare and process patient billing statements for required contributions under Medicaid guidelines.

Communicate with Medicaid provider representatives to resolve billing issues, clarify authorization requirements, and obtain necessary documentation