Responsible for the management of Medicaid accounts through patient written and verbal directions, aged trial balance reports, and Medicaid rejection reports for the accurate and timely filing of claims for maximum reimbursement.  Ability to provide support to other Accounts Receivable departments, as needed.  Adhere to all departmental policies and procedures.

• Customer service duties include answering telephones for patients and others regarding billing inquiries and resolving billing issues in a professional manner.
• Act as resource to CPL personnel and clients regarding Medicaid compliance guidelines.
• Accurately enter information provided by various sources to correct claims in regards to CPT and ICD-10 codes and send out in a timely manner to Medicaid.
• Audit accounts showing Medicaid denials to resolve balances.
• Ability to interpret Explanation of Medicaid benefits.
• Resolve invoices from outside laboratories for Medicaid patients.
• Submitting and retrieving eligibility requests through TDH Connect.
• Communicating with the Team-leader or Supervisor on areas that may be improved and   appeals minimized.
• Ability to stay work focused and perform job duties efficiently and accurately as well as meet the production standards as set by the Accounts Receivable Director.  Must have strong organizational skills.
• Employee must comply with CPL’s compliance policies and procedures.
• Duties include but are not limited to the above mentioned responsibilities.

Scope:  Respects and maintains the confidentiality of information relative to the laboratory.  Adheres to all accounts receivable policies, procedures and compliance guidelines.  Works with minimal direction, consults with Team-leader or Supervisor as needed.

Education:  High School Diploma or GED.

Experience:  Preferred at least two years in a standard Medicaid or related Star plans in a multitask environment, including customer service.  Strong background in coding procedures preferred.  Bilingual skills, private insurance experience and/or lab billing a plus.

Skills:  Ability to communicate effectively at all levels within the company and with patients and physician office staff.  Knowledge of microcomputer technology and terminology.  Ability to type and demonstrate 10 key proficiency and current departmental standards is required.  Develop effective and harmonious work habits and relationships.  Ability to read and comprehend English.