Medicaid Senior Representative
HBCS - New Castle, DE

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As a Medicaid Representative , you will utilize your knowledge of the claims process by analyzing and applying payer contract terms and conditions to ensure that all elements of the account are accurate. Must have working knowledge of medicaid and insurance follow up process and be proficient in comprehending and applying payer contract conditions and reimbursement methodology. Identify and report trends in carrier payments and denials. Follow up with payers and other third parties for ensuring timely claims submission and resolution of accounts including secondary billing, appeals process, and patient liability. You must be available to work Monday - Friday 8:00am - 5:00pm.

Excellent verbal and written communications skills with an emphasis on customer service.

Proficient computer and keyboard skills and ability to update multiple systems while interacting with third parties.

Basic knowledge of healthcare claims processing including ICD-9, ICD -10, CPT, and HCPC codes, as well as UB-04 and 1500 claims forms.

Ability to analyze and resolve problems, and identify payer reimbursement discrepancies.

3 to 5 years of Medicaid experience required.

1 to 2 years of experience with patient accounts receivable and/or insurance claims processing.

High school diploma or equivalent.

Our total compensation package includes:
Competitive base salary

Monthly performance incentives

Comprehensive medical, dental, life and disability benefits

Tuition assistance program

Retirement savings plan

Generous paid vacation time allowance

Our success story is due to the quality of our people and our commitment to exceptional customer service. HBCS is a leader in health care receivables management providing electronic billing, insurance follow-up, and self-pay recovery services to hospitals and healthcare providers throughout the U.S. With employees in operating locations in Delaware and Massachusetts, our skilled and dedicated team delivers quality, value-added services utilizing advanced technology and specialized expertise.

To take the first step in a career with HBCS please apply directly on our company website at

HBCS is an Equal Opportunity Employer

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