What are the responsibilities and job description for the PFS Insurance Follow Up - Medicaid HMO position at CoxHealth?
Summary
-
About Us
-
CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:
-
Named one of Modern Healthcare’s Best Places to work five times.
-
Named one of America’s Greatest Workplaces by Newsweek.
-
Recognized as a Greatest Workplace for Women in both 2023 and 2024.
-
Listed as one of the Greatest Workplaces for Diversity in 2024.
-
Acknowledged by Forbes as one of the Best Employers for New Grads.
-
Ranked among the Best Employers by State for Missouri.
-
-
-
Benefits
-
Medical, Vision, Dental, Retirement Plan with employer match, and many more!
-
For a comprehensive list of benefits, please click here: Benefits | CoxHealth
-
-
Job Summary
-
The PFS Medicaid MCD MGN follow up position is responsible for investigating unpaid Medicaid or Medicaid Managed care hospital claims. Utilizes payer phone numbers, websites, and chat functions to gain clarification on denials. Works in collaboration with other departments and areas of PFS to resolve claim issues in a timely manner. Meet or exceed departmental goals such as cash collection, productivity and days in A/R.
-
-
Job Requirements
-
Education
-
Required: High School diploma or equivalent
-
-
Experience
-
Preferred: 1 year business office experience
-
-
Skills
-
Strong analytical skills to recognize problems
-
Excellent computer skills and strong aptitude to learn and maximize use of applications
-
-
Licensure/Certification/Registration
-
N/A
-
-
