Specialist (Jobs in Nashville, TN)   Requirement id 145465 Job title Specialist Job location in Nashville, TN Skills required Patient Experience Analytics, Accounts Receivable, Specialist- Expe, Open Date 25-Jan-2024 Close Date Job type Contract Duration 8 Months Compensation DOE Status requirement --- Job interview type ---    Email Recruiter: coolsoft Job Description Specialist: Patient Experience Analytics, Accounts Receivable, Specialist- Expe, Start date : 02/26/2024 End date :09/30/2024 Submission deadline :01/23/2024 Client info : TN DOH Position Location: Remote Description : ---------------------------------------------------------------- 9351 The Patient Accounts Specialist plays a crucial role in ensuring the timely and accurate completion of Medicaid redetermination processes. This position involves making target outreach to pregnant and postpartum individuals undergoing Medicaid redetermination, guiding them through the redetermination process, and assisting them with navigation to appropriate resources and submission of necessary documentation. Key Responsibilities: 1. Call Handling: • Initiate outbound calls to individuals eligible for Medicaid redetermination. • Clearly and effectively communicate the purpose of the call and guide recipients through the redetermination process. • Handle inquiries, providing accurate and timely information as needed. 2. Documentation Assistance: • Educate Medicaid recipients on the required documentation needed for redetermination. • Assist individuals in gathering and submitting necessary paperwork for redetermination. 3. Data Collection and Verification: • Collect accurate and up-to-date information from individuals during phone interactions. • Verify and cross-reference provided information with existing records to ensure data integrity 4. Compliance and Regulations: • Stay informed about Medicaid regulations, policies, and procedures related to redetermination. • Ensure compliance with all relevant laws and guidelines throughout the redetermination process. 5. Problem Resolution: • Identify and address customer concerns or issues, escalating problems to the appropriate channels when necessary. • Work collaboratively with team members to find solutions and ensure customer satisfaction. 6. Record Keeping: • Maintain detailed and accurate records of all interactions with Medicaid recipients. • Document any changes or updates related to redetermination status. 7. Customer Service: • Provide excellent customer service by answering questions and addressing concerns professionally and courteously. • Represent the organization positively to build trust and rapport with Medicaid recipients. 8. Reporting: • Generate and submit regular reports on redetermination progress as directed. Qualifications: • High school diploma or equivalent; additional education in public health, healthcare administration, or related field is a plus. • Fluency in both spoken and written English is required for effective communication with team members and partners. • Prior experience in a call center, customer service, patient accounts, or Medicaid-related roles is preferred. • Familiarity with Medicaid regulations and redetermination processes is preferred. • Excellent interpersonal skills. • Strong organizational skills and attention to detail. • Ability to navigate and utilize relevant computer systems and software. • Prior experience in customer service, patient accounts, or Medicaid-related roles is preferred. Working Conditions: This role is designed for remote work, allowing the Medicaid Redetermination Specialist to operate in a home-based environment. Therefore, specialists must have reliable internet access. The specialist will utilize standard office equipment, including computers and phones. Creating a comfortable and productive remote workspace is essential for successful job performance. Flexibility in work hours may be required to accommodate peak call times.   Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 145465 while calling.   Other jobs in TN: Franklin (1), Nashville (6),         (Specialist: Patient Experience Analytics, Accounts Receivable, Specialist- Expe, in Nashville, TN)

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