Job description

Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500™ list of the fastest-growing companies in the U.S. For more information, visit www.centaurihs.com.

Role Summary:
The Account Reimbursement Coordinator works with our hospital clients to process their Out of State Medicaid claims. The Account Reimbursement Coordinator works with Medicaid payors in all states and will oversee the billing process. This is a client facing role that requires strong communication skills, the Reimbursement coordinator must have the ability to communicate clearly with stakeholders in a timely manner both in writing and verbally. The Reimbursement Coordinator has excellent attention to detail and superior follow through.

Role Responsibilities:

• Process and Submit claims by electronic, paper, or automatic methods as dictated by payor specific guidelines
• Identify denied line items and take necessary steps with the payor to resolve the account
• Utilize multiple systems to determine patient eligibility information and demographics
• Understands client expectations and specific needs as it pertains to their Out of State Medicaid accounts
• Ensure all accounts are maintained with accurate and current status notes and follow up dates
• Identify Payor trends and issues and communicate to Team Lead
• Follow up on appeals, payments and denials
• Builds and maintains client relationships

Role Requirements:

• 2-4 years of Billing and/or follow up experience is preferred
• Familiarity with UB04 and/or 1500 claims
• Strong Communication and Customer Service Skills
• Attention to Detail
• Minimum 6 months of administrative or customer service experience
• High School Diploma or GED equivalent

We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities.

Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date. The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law.

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