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Medicaid Assistant Jobs (NOW HIRING)

Barrow Wise Consulting

Medicaid/Medicare Consultant

MD · On-site

$90K - $150K/yr

... * Assist the State with billing Medicare Part A & B and Medicaid programs; provide IDHS with detailed information identifying those claims that the vendor submitted in an agreed-upon format and ...

lhs

The Mobile Medicaid Liaison is responsible for the oversight, coordination, and successful ... Business Office Support * Assist and support the Business Office Manager (BOM) as needed to ensure ...

Queens Blvd Extended Care Facility

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Medicaid Coordinator

Woodside, NY · On-site

$50K - $59K/yr

Key Responsibilities: * Assist clients with Medicaid applications, renewals, recertifications, and changes in coverage. * Determine eligibility based on New York State and City guidelines, income ...

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Medicaid Assistant information

What are Medicaid Assistants?

Medicaid Assistants are professionals who help individuals and families navigate the Medicaid program, which provides health coverage to eligible low-income people. Their duties often include assisting with applications, verifying eligibility, gathering required documentation, and answering questions about Medicaid benefits and processes. They may work in hospitals, clinics, social service agencies, or government offices. Medicaid Assistants play a crucial role in ensuring that applicants receive the benefits they are entitled to and understand their healthcare options.

What are some common challenges Medicaid Assistants face when supporting applicants through the enrollment process?

Medicaid Assistants often encounter challenges such as navigating complex eligibility requirements, managing large caseloads, and helping applicants gather necessary documentation. They must be adept at explaining program rules and timelines to applicants who may have limited familiarity with the healthcare system. Additionally, Medicaid Assistants frequently collaborate with social workers, healthcare providers, and government agencies to resolve issues and ensure timely application processing.

What are the key skills and qualifications needed to thrive as a Medicaid Assistant, and why are they important?

To thrive as a Medicaid Assistant, you need strong knowledge of Medicaid policies, eligibility requirements, and experience in medical or social services administration. Familiarity with Medicaid management information systems (MMIS) and data entry software is typically required, along with any relevant certifications in healthcare administration. Excellent interpersonal skills, attention to detail, and problem-solving abilities help you effectively assist clients and navigate complex regulations. These skills ensure accurate processing of applications and support, leading to better access to healthcare services for eligible individuals.

What is the difference between Medicaid Assistant vs Medical Assistant?

AspectMedicaid AssistantMedical Assistant
CredentialsMay require certification or training specific to Medicaid programsTypically requires a CMA or RMA certification
Work EnvironmentAssists with Medicaid enrollment and support in healthcare offices or government agenciesWorks in clinics, hospitals, or medical offices performing clinical and administrative tasks
Employer & IndustryGovernment agencies, Medicaid offices, healthcare providersHospitals, clinics, private practices
Common Search & ComparisonOften compared for roles supporting Medicaid servicesCompared for clinical support roles in healthcare settings

While both roles support healthcare delivery, Medicaid Assistants focus on Medicaid program support and enrollment, often within government or healthcare agencies. Medical Assistants perform clinical and administrative tasks in medical facilities. Understanding these differences helps job seekers find the right role aligned with their skills and career goals.

What cities are hiring for Medicaid Assistant jobs? Cities with the most Medicaid Assistant job openings:
What are the most commonly searched types of Medicaid jobs? The most popular types of Medicaid jobs are:
What states have the most Medicaid Assistant jobs? States with the most job openings for Medicaid Assistant jobs include:
Medicaid Assistant jobs near you
Medicaid/Medicare Consultant

Medicaid/Medicare Consultant

Barrow Wise Consulting

MD • On-site

$90K - $150K/yr

Full-time

Posted 8 days ago

Job description

Enjoy problem-solving, need a venue to display your creativity, and emerging technologies pique your interest; if so, Barrow Wise Consulting, LLC is for you. As a multi-disciplined leader, you understand the gifts that set you apart from everyone else. Demonstrate innovative solutions to our clients. Join Barrow Wise Consulting, LLC today.
Responsibilities:
The Medicaid/Medicare Consultant will support Barrow Wise's Illinois DHS project and perform the following duties:
  • Serves as the Medicare/Medicaid consulting expert
  • Provide and manage consulting, data transfer, and claims processing services to increase federal revenues in Medicare A, B, D, and Medicaid in IDHS State Operated Facilities
  • Provide revenue maximization services for Medicare A, B, D, and Medicaid
  • Enhance billing and coding accuracy, claims management, eligibility verifications, regulations, and compliance with recommendations and implementation of training, new systems, processes, and automation
  • Provide and manage services to process Medicare D claims and collection as required by Federal Medicare D rules and requirements; ensure a streamlined and compliant billing and collection function, including an electronic accounts receivable system specific to pharmacy claiming
  • Review and assess the current Medicare Part A & B, Medicaid, claiming policies, procedures, practices, and outcomes of each State-operated facility for mental health and developmental disabilities
  • Assist the State with billing Medicare Part A & B and Medicaid programs; provide IDHS with detailed information identifying those claims that the vendor submitted in an agreed-upon format and frequency
  • Assist the State in the completion of annual Medicare cost reports by reviewing Medicare cost report schedules to ensure reports are completed appropriately and maximize Medicare and Medicaid cost reimbursement
  • Implement processes to improve billing and claiming with the transition to State staff
  • Provide recommendations as to the level and expertise necessary for individuals to conduct billing and claim to achieve optimal revenue
  • Develop and deliver training, documents, manuals, and other resources required to promptly identify and correctly bill for eligible individuals served by the DHS State-Operated Facility programs
  • Work as a mediator between the State and the Fiscal Intermediary NGS (National Government Services), which requires them to answer questions related to the Medicare cost reports, billings and claims
  • Assist the IDHS Office of Fiscal Services with the submission of Medicare bad debt claiming
  • Assist the IDHS Office of Fiscal Services with the submission of annual Medicare cost reports
  • Identify additional revenue maximization opportunities for IDHS
  • Develop project reports and present data to the State

An ideal candidate has the following:
  • U.S. Citizenship
  • Bachelor's degree
  • 10 years of experience with Medicare and Medicaid claims processing systems and revenue maximization services
  • Knowledge of automation in healthcare claims
  • Proficient in Project Management and Business Analysis practices, principles, and tools
  • Excellent written and verbal communication skills

Join the team at Barrow Wise Consulting, LLC, for a fulfilling and engaging experience! Our team is dedicated to providing innovative solutions to our clients in an ethical and diverse work environment. We offer competitive compensation packages, excellent benefits, and opportunities for growth and advancement. Barrow Wise is an equal-opportunity, drug-free employer committed to diversity in the workplace. Minority/Female/Disabled/Protected Veteran/LBGT are welcome to apply.
Our employees stand behind Barrow Wise's core values of integrity, quality, innovation, and diversity. We are confident that Barrow Wise's core values, business model, and team focus create positive career paths for our employees. Barrow Wise will continue to lead the industry in delivering new solutions to clients and persevere until the client is overjoyed.

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