Job title: NEMT Medical Claims Specialist – Remote
Company: Ride Health
Job description: Who We Are:Ride Health removes the transportation barriers that keep our most vulnerable populations from accessing health care. Ride Health partners with healthcare organizations and transportation providers to strengthen enterprise transportation programs and drive intelligent transitions of care. We blend technology and data with a human approach to break down access barriers and solve some of the biggest transportation challenges that care coordinators, providers, and payers face. Our platform maps out each patient’s unique needs and preferences for the best ride experience across clinical and social needs, ensuring greater access, improved efficiencies, lower costs, and better outcomes.Who We’re Hiring:The NEMT Medical Claims Specialist plays a critical role in processing non-emergency medical transportation claims efficiently and accurately. The ideal candidate will have experience with third-party administrator portals. You will collaborate closely with various stakeholders to facilitate timely claims resolution.Success in this position will require exceptional attention to detail, passion for understanding complex payments, strong communication skills, and the ability to manage many simultaneous projects and deadlines. This role reports to the company Controller.RequirementsResponsibilities:
- Review and process NEMT claims submissions, ensuring accuracy and completeness.
- Track and correct rejected as well as denied claims within timely filing period
- Utilize business intelligence tools (e.g., Looker) to analyze data and generate reports related to claims processing and performance metrics.
- Navigate and manage third-party administrator portals and aggregation tools to track claims status and resolve discrepancies.
- Collaborate with internal teams and external partners to facilitate timely claims resolution.
- Maintain accurate records and documentation for all claims activities.
- Conduct regular audits to identify areas for process improvement and ensure compliance with regulations.
- Provide exceptional customer service to clients and stakeholders regarding claims inquiries.ations.
- Continuously identify opportunities for process improvements, automation, and enhanced efficiency within the accounting function.
Qualifications:
- Bachelor’s degree or equivalent experience.
- 2+ years of experience in healthcare or medical claims processing or a related role.
- Demonstrable high degree of proficiency in spreadsheet software.
- Meticulous attention to detail and accuracy.
- Strong ability to work independently and manage time effectively.
- Excellent analytical and problem-solving skills.
- Comfortable collaborating in a fast-paced environment.
- Strong communication skills, both written and verbal.
- Preferred experience: OfficeAlly, third-party administrator portals (e.g., WPS), Looker
Benefits
- Competitive compensation $50,000 to $60,000
- Career advancement opportunities
- Remote – skip the commute. Some in person sessions required.
- Paid Time Off
- Medical, Dental, and Vision insurance – multiple great coverage options offered for employees and dependents with generous company contribution and quick eligibility
- Need to add dependents? We help with that too
- TalkSpace, Healthy Advocate EAP, Teledoc, One Medical, KindBody – yep, all company provided
- Life insurance, short-term disability, long-term disability – again, all paid for by Ride Health
- 401k retirement savings plan with 4% fully vested employer match right out of the gate
- Fully paid parental leave
- And we’re always looking to add more…
PLEASE NOTE: Because of healthcare privacy regulations, candidates must reside in the United States to perform this job. Candidates must be permanently authorized to work in the United States. We are unable to provide sponsorship at this time.Ride Health complies with regulations to verify employment eligibility through E-Verify. All recruitment and hiring communications from Ride Health will be conducted via a valid ‘@ridehealth.com’ email address. Please disregard any messages from other domains as they are unauthorized and not affiliated with Ride Health. Ride Health is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind: Ride Health is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Ride Health are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Ride Health will not tolerate discrimination or harassment based on any of these characteristics, and strictly complies with the Civil Rights Act Title VI and Title VII Civil Rights Requirements.
Expected salary: $50000 – 60000 per year
Location: Orlando, FL
Job date: Fri, 04 Oct 2024 22:36:00 GMT
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