What are the responsibilities and job description for the PFS Insurance Follow Up - Medicaid HMO position at CoxHealth?
Summary
Best in Class Work Environment
5x Modern Healthcare Best Places to work
America’s Greatest Workplaces 2023 – Newsweek
Greatest Workplace for Women 2023, 2024 – Newsweek
Greatest Workplaces for Diversity 2024 – Newsweek
Best Employers for New Grads 2023 – Forbes
Best Employers by State – Missouri – 2023 – Forbes
Benefits
Robust, fully customizable benefits package including Medical / Vision / Dental and more!
No cost eCare visits
Employer-provided mental health services for employees and eligible family members
Retirement with employer match up to 7%
Tuition discounts and reimbursement available for continuing your education
CoxHealth Fitness Center and Child Care discounts
Onsite delivery for CoxHealth Pharmacies and 1906 Employee Store
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
