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Job Title Resolution Specialist *
Location Lafayette,LA*
*Position is based out of Lafayette,LA
Department Corporate / Administrative & Support
FLSA Status Non-Exempt
Shifts hiring Full-time
Additional Information 8:00am – 5:00pm (Monday – Friday)


Acadian Client Services has an immediate opening in the Medicaid department for a full-time Resolution Specialist position at our Hopkins St. location in Lafayette, LA.  The hours are 8:00am – 5:00pm (Monday – Friday).

 

Overall Responsibility:
Responsible for processing, compiling, analyzing and managing the receivables for assigned payor type.

 

Key Areas of Responsibility:

  • Conduct and manage research
  • Review and prepare appeals
  • Review claims for Federal compliance
  • Handles  inbound calls
  • Ensures accuracy of demographic information
  • Other responsibilities, as assigned

 

Qualifications:

  • 5+  years of Medicare, Medicaid and/or Insurance Billing experience required, or Bachelor’s Degree and 3 or more years of Billing experience including ICD-10 coding
  • Basic/Paramedic Clinical Experience preferred
  • Basic computer skills
  • Problem-solving abilities
  • Excellent communication and customer relation skills
  • Familiarity with the Centers for Medicare & Medicaid Services regulations (ambulance)
  • Ability to adhere to productivity goals and departmental guidelines
  • Demonstrate a strong work ethic and work independently
  • Possess strong organizational skills
  • Understands HIPAA and Red Flag guidelines
  • High school education or equivalent

 

EOE/AA

 


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