Job Details

Central Intake Specialist

Duties and Responsibilities

• Draft invoice batches for each location and review for missing information and corrections for:
• Rates
• Billing codes
• Diagnosis
• ID numbers
• Authorization
• Doctor orders
• Verify invoices with missing authorization codes have valid authorization.
• Create spreadsheets for missing authorization or information, then submit to appropriate person at each location.
• Finalize invoices that do not have any discrepancies.
• Export non AHCCS invoices and Submit AHCCS invoices to 3rd party for review.
• Enter required invoices into Texas Medicaid portal.
• Print Paper invoices.
• Create Unbilled billable report with explanation for each unbilled invoice.
• Check Emdeon website weekly to ensure all submitted claims are being processed.
• Document all conversations and billing transactions in the management system.
• Recognize and analyze billing and collections problems.
• Communicate effectively with staff and management.
• Appropriately perform all other duties assigned by Finance Manager or Director of Finance.
• Supports and executes the mission, ethics, and goals of the company effectively:
• Represents themselves in a positive and professional manner in the company and community.
• Adheres to dress code with a clean and neat professional appearance.
• Reports on time and as scheduled in order to complete work within designated time.
• Adhere to all company policies and procedures outlined in Employee Handbook, Employee Agreement, or communicated from executive team.

Requirements

• Knowledge of Billing and Collections procedures
• Strong attention to detail and goal oriented
• Excellent written and verbal communication abilities
• Maintain strict confidentiality; adhering to all HIPAA guidelines and regulations
• Must live in North Carolina or Tennessee
• Must have NC and TN Medicaid experience

EEO Statement:

MGA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other status protected by applicable law.