Account Manager
USA Jobs
Job Title
Job Duties
• Performs client data entry to include billable services, client payments, Medicaid/Insurance status, and prior authorizations (PA).
• Determines eligibility status of Medicaid and Insurance clients. Aggressively pursues other resources available through third party insurance to ensure payment for services performed.
• Obtains MCO prior authorization (PA). Maintains PA expirations and follows up with staff. Responsibility for resolving discrepancies and assisting the Agency in the Medicaid compliance requirements.
• Prepares and submits Medicaid and Insurance claims.
• Processes Explanation of Benefits (EOBs), remittance advices, and provides appropriate information to rectify discrepancies if necessary.
• Works all RCM and CareLogic errors daily.
• Meets with clients concerning payment agreements and billing issues.
• Verifies accuracy of monthly client billing and processes the mailing of client statements, including processing of any returned mail.
• Scans and attaches documents into electronic health record as needed.
• Assists with GEAR and Debt Set-off submission and collections.
• Performs related duties as assigned.
• Attends related state Medicaid and other trainings as required.
• Serves on Agency committee(s) as requested.
Requirements
Experience in Medical Insurance/Billing and Admin work.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans.