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Intake Specialist - DC Medicaid Remote

Washington, DC

Posted: 09/14/2023 Employment Type: Medical Claims Industry: Healthcare Job Number: JCS - 119 Pay Rate: $24.70/Hour

Job Description

Wonderful full-time long-term contract opportunity in DC for an experienced individual who can process DC Medicaid claims, appeals, denials, and perform research.  This is a remote "work from home" position.  Some of the responsibilities include:

  • Complete all duties associated with eligibility verification, coverage, authorizations, appeals, and denials for outpatient procedures
  • Research and verify insurance coverage by phone and online to ensure proper coordination reimbursement of benefits and estimates of patients financial responsibilities for commercial, governmental, and third party insurances
  • Conduct benefit investigation to determine in detail specific coverage for a variety of services
  • Administer web-based review (e.g., auto-adjudication)

Job Requirements

  • 2 years' experience handling billing & reimbursements for DC or MD Medicaid recipients
  • Experience handling claims, appeals, and denials
  • Strong written & verbal communication skills
  • Proficient with Word, Excel, & Outlook
  • Type 50 WPM
  • Ability to work remotely until organization returns working downtown in DC near Metro Center

Additional Information

NRI is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

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Julie Segor

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