Entitlement Specialist (Far Rockaway)

Compensation

: $105,090.00 - $169,860.00 /year *

Employment Type

: Full-Time

Industry

: Financial Services - Insurance



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Job Description

  • Managed Long-Term Care Facility in Suffolk looking for an Entitlement Specialist to join their team
  • Responsibilities will include: Perform recertification calls and follow up calls Represents patients; obtain back coverage to ensure that agency receives payment for services rendered to patient Review all surplus cases to ensure that payments are being received are being adhere to Research and resolve Medicaid issues to ensure that codes are removed when appropriate, to allow agency to be paid for services rendered Gather and submits supporting documentation for cases with eligibility discrepancies and ensures Integra receives claim remissions for the appropriate time periods Support enrollment staff in researching and resolving eligibility issues
  • Qualifications

  • 1+ year of medical coding/billing experience preferred
  • Bi-lingual Bengali required
  • 1+ years of experience working with Medicaid/Medicare
  • * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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