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Claims Processor ( Medicaid) in Austin, TX at BCforward

Date Posted: 11/29/2018

Job Snapshot

Job Description

Position: TPL Health Plan Engagement Associate (Claims Processor ( Medicaid))

Locations: AUSTIN TX 78727 Expected Duration: 6 Months with possible Extension

Monitoring, Collections & Recovery - After orientation, training will be from 7a-3:30p for 4-6 weeks. After training, shedule will change to start at 7:30a or 8a. The Health Plan Engagement Associate will aid in the recovery of Medicaid funds where a third party carrier is responsible for payment, and has not reimbursed the Medicaid program. The Health Plan Engagement Associate will also assist in project management, reporting, and team administration as needed. The following are a list of responsibilities held by the Health Plan Engagement Associate but are not solely limited to these processes: Research and develop leads for potential claims. Reviews and evaluates provider billing itemizations and records. Create insurance claims for billing. Understand the check disposition process at a high level. Develop and maintain professional business relationships with Insurance Carriers and Providers through verbal and written communication with insurance companies and medical care providers.

Job Requirements

Claims Processor (Medicaid)