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Medicaid Administrative Specialist

The Children's Home
locationBinghamton, NY, USA
PublishedPublished: 6/14/2022
Full Time

Job Description

Job Description

WHO WE ARE : The Children’s Home of Wyoming Conference partners with children, families and communities throughout New York State to inspire hope, develop skills and cultivate healthy relationships for positive futures.


Work Location: On-site, in person, in Binghamton, NY


Position Summary: Review, process, and resolve Medicaid claims, ensuring accuracy and compliance with regulations.


Responsibilities:

  • Data entry of client information
  • Claims review
  • Communication with providers and payers
  • Handling appeals or disputes
  • Process remittance payments



Requirements

Education:

  • High school diploma / GED required

Experience:


  • Experience in healthcare claims processing
  • 3+ years of experience in a relevant field, like business administration, social work, or health care administration required



BenefitsBenefits available to all staff:

  • Student Loan and Tuition Reimbursement
  • Employee Assistance Program
  • Employee Discounts at the Southern Tier Community Center
  • Opportunities for Professional Development

Full Time Benefits:

  • Agency-Paid CEUs, License Prep Course, and License Exam
  • 403(b) with 6% employer contribution
  • PTO plus 9 paid holidays
  • Childcare Reimbursement
  • Health, Dental, and Vision Insurance (with HSA/FSA Accounts)
  • Life Insurance

EEO Statement: The Children’s Home is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We provide equal employment opportunities to all individuals regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected characteristics.




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