<p>Department</p> <p>Patient Financial Services</p> <p>Job Summary</p> <p>"Hiring Now for a Medicaid Coordinator I"</p> <p>This position has responsibility for coordinating all Medicaid claims processing and pending Medicaid account handling. Responsible for planning, developing, evaluating and monitoring account transition from self pay to appropriate agency for financial assistance. This position serves as a bridge between financial and ICM and assists in and with communication of referral placement. This position serves as an advisor in all areas of Medicaid and pending Medicaid and has charge of timely referrals when Medicaid is denied. Responsible for keeping abreast of and complying with all Medicaid regulations. Responsible for review of Medicaid Accounts Receivable to ensure timely reimbursement of outstanding accounts receivables and analyzing Medicaid remittances to insure maximum reimbursement has been received.</p> <p>Responsible for resubmission of claims for additional reimbursement and/or appealing said claims with timely follow up. Responsible for maintenance of Medicaid contract manuals, communication of contracts to all departments involved and keeping abreast of all Medicaid related issues. Responds to incoming calls. Responsible for ensuring that all Medicaid claims requiring authorization are submitted for clinical review prior to billing. Fluent in the use of Passport, EQ Health, AccessANYware, Med-decision and FEMMIS.</p> <p>Required Qualifications</p> <ul> <li>Require two (2) years of experience in healthcare, insurance or customer service setting. A Bachelor's degree can be considered in lieu of the required experience. </li></ul> <p>Preferred Qualifications</p> <ul> <li>Prefer strong interpersonal skills, including the ability to handle difficult situations in a diplomatic manner. </li><li>Prefer the ability to use commercially available software for authorization functions. </li><li>Prefer the ability to communicate effectively and with a distinct speaking voice. </li><li>Prefer working knowledge of ICD-10 and CPT coding. </li><li>Require the ability to type minimum of thirty (45) words per minute. </li><li>Prefer previous Medicaid claims experience. </li></ul> <p>Mandatory Education</p> <p>HS EQ: High School Diploma, GED or Certificate</p> <p>Reputation. Community. Impact. Growth.</p> <p>Every day, our patients at Sarasota Memorial Health Care System receive a first-class experience in care from a team on a mission to deliver the highest level of care in America. In the process of rising to that challenge, one by one, our people are finding their purpose and feeling their impact. Now it is your turn to see yourself here.</p> <p>Sarasota Memorial Hospital was recently recognized again by ranking #1 Hospital in the Region by the U.S. News's Best Hospital report by scoring a Perfect 10! Not only that, but SMH was also designated at a national "standout" hospital for earning top ratings in all evaluated conditions and procedures - an accomplishment achieved by less than 1% of the 4000+ hospitals. Our system has also earned Magnet recognition from the American Nurses Credentialing Center (ANCC), as well as these additional accolades: Gallup Great Workplace 2018; recipient of an "A" grade for Patient Safety. Sarasota Memorial Hospital is Magnet designated and the only provider of Level II trauma services, obstetrical services, and Level III neonatal intensive care in Sarasota County.</p> <p>The benefits of being the best:</p> <p>Our commitment to becoming the best community hospital and health care system means providing the best possible benefits to our people. Some highlights:</p> <p>Total Rewards Package</p> <ul> <li>Paid Time Off (start earning PTO on day one of employment) </li><li>Tuition Reimbursement </li><li>Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees </li><li>Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars </li><li>Life Insurance </li><li>Disability Insurance </li><li>Retirement Savings Plan: 403b </li><li>Sarasota Campus for now - Discounted Child Care & Before and After School Program and Summer Camp! </li><li>Bereavement Leave </li><li>Free Parking </li><li>On Campus Dining w/ a 10% discount </li><li>Credit Union w/ teller machines on campus </li><li>Direct Deposit </li><li>Free Wellness Screening </li><li>Free confidential counseling services </li><li>Employee Discount Programs </li><li>Recognition Programs </li><li>Referral Programs </li><li>Tremendous growth opportunities for hard workers! </li></ul> <p>Shift/Schedule</p> <p>40 hours, M-F, flex start time 7am to 9am, position in on site at Support Services location, currently no remote work option available</p>