Medicaid Prior Authorization Coordinator

Description

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.

Requirements

Qualifications:

+ Bachelor's degree in a related field preferred.

+ Experience working with Medicaid billing processes.

+ Strong technical skills, including proficiency with computers and Microsoft Excel; familiarity with Eldermark and Point Click Care  is an asset.

+ Understanding of insurance claims and billing practices.

+ Exceptional attention to detail and commitment to maintaining high accuracy.

+ Capable of working independently as well as collaboratively within a team.

Ready to take the next step in your career? Apply now or contact us today at  to learn more about this opportunity!

Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit  for more information.

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