NEMT Medical Claims Specialist

3 days ago

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Ride Health

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Healthcare • Transportation • Technology • Care Management

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Description

• Ride Health removes transportation barriers for vulnerable populations accessing health care. • Partners with healthcare organizations and transportation providers to strengthen transportation programs. • NEMT Medical Claims Specialist processes non-emergency medical transportation claims efficiently and accurately. • Requires exceptional attention to detail, strong communication skills, and project management skills.

Requirements

• 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. • 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...