Medicaid Claims Processor [United States]


 

Who We Are:

Embrace® provides software solutions to over 1,000 school districts across eight states, enabling educators to spend less time on paperwork and more time where it matters – in the classroom. We are committed to providing high-quality, easy-to-use software for managing IEP and 504 plans, documenting intervention plans, monitoring services and reimbursement, and evaluating staff.

Job Overview: ​​Join our dynamic team as a Medicaid Claims Processor, where you'll play a pivotal role. With your exceptional attention to detail and swift execution, you'll ensure the accurate and timely submission of Medicaid claims, optimizing reimbursement for providers, and improving financial stability for districts. By managing and coordinating the claims process, you'll contribute to seamless resource flow and empower school districts.

This position is a full-time, 100% remote position with scheduled hours Monday-Friday, 7:30 a.m. – 4:30 p.m. CT. Starting pay is $20 per hour.

Responsibilities and Duties:

  • Identify, review and analyze rejected claims and interpret remittance advice for possible claim resubmission.
  • Evaluate rejected submission files for formatting errors and correct for resubmission; collaborating with system developers as needed.
  • Create and maintain large-scale spreadsheets to organize claim submissions and relevant claim data
  • Download district payment summaries and accurately reformat for enhanced readability
  • Routinely complete claim submission audits to confirm accuracy and completeness
  • Conduct routine Medicaid verification checks to ensure student eligibility
  • Maintain strict confidentiality and data privacy throughout the data entry process

Required Qualifications:

  • High School Diploma or GED
  • Demonstrates strong problem solving skills
  • Superior attention to detail for analyzing data
  • Excellent organizational and task management skills
  • Preferred experience working with Excel
  • Previous experience in data entry or related administrative roles is highly desirable

Embrace Benefits:

  • 100% company paid health, vision, dental, and disability insurance for employee
  • 401k with 4% employer-contribution
  • Monthly internet stipend
  • Generous PTO with yearly roll over of unused days
  • Remote work environment
  • Company provided equipment

Job Type: Full-time

Pay: From $20.00 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • Monday to Friday

Application Question(s):

  • Why do you want to work for Embrace®?

Experience:

  • Claims Processing: 1 year (Preferred)

Work Location: Remote

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