Transdev Claims Specialist - NEMT in Englewood, Colorado
Transdev is the largest private sector operator of multiple modes of passenger transit in North America, providing bus, rail, paratransit, shuttle, sedan and taxi services. We manage over 200 transportation contracts for cities, transit authorities and airports, providing safe and sustainable mobility solutions. Our mission is to improve public transportation, to enhance quality of life and combat global warming.
This position will specialize in Colorado Medicaid claims processing. The Claims Specialist will be responsible for reviewing, preparing, and submitting claims in accordance with our contract. The claims specialist will be responsible for reviewing, preparing, and submitting invoices to providers leasing tablet devices and other IntelliRide Colorado clients. The claims specialist will be responsible for general administrative duties. Job Duties include, but are not limited to, the following:
Receive and process the reimbursement requests for Health First Colorado members utilizing mileage reimbursement.
Receive and process the reimbursement requests for Health First Colorado members for meals and lodging requests.
Retrieve 270/270 file from HCPF and process
Assist providers with adjustment requests
Answer Provider Claims Inquiries and Reconciliation requests
Clear Individual Provider Driver Logs within 3 business days of receipt of clean claim
Send Notice of Missing Information to Providers or Denial letter, if applicable, within 15 business days of receipt of documentation
Prepare, maintain, and send monthly tablet lease invoices to Providers
Prepare, maintain, and send monthly service invoices to IntelliRide Clients
Complete post claims audit
Field and years of experience required:
- Minimum of 2 years of claims processing experience or equivalent education/training.
- Experience in medicaid claims processing
Skills and Knowledge Required:
This position requires a basic understanding of the claims handling process;
Candidate must have working knowledge and be proficient with Microsoft Excel, Access, PowerPoint and Word;
The ability to maintain deadlines and timeframes dictated by financial reporting requirements;
The ability to work independently;
The ability to be flexible to meet the daily challenges.
Must submit to a drug test and background check after accepting job offer.
100% of work is accomplished indoors and in air conditioned or well ventilated facilities
Travel <5% for occasional meetings
Work is accomplished in an office or in a cubicle space equipped with a telephone and computer
The employee is generally subjected to long periods spent sitting, typing, or looking at a computer screen
For more information please visit our website at www.transdevna.com/careers
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions upon request.
Transdev is an Equal Employment Opportunity (EEO) employer and welcomes all qualified applicants. Applicants will receive fair and impartial consideration without regard to race, sex, color, national origin, age, disability, veteran status, genetic data, gender identity, sexual orientation, religion or other legally protected status, or any other classification protected by federal, state, or local law. EEO is the Law Poster: http://www1.eeoc.gov/employers/poster.cfm
Drug free workplace
If based in the United States, applicants must be eligible to work in US without restrictions for any employer at any time; be able to pass a drug screen and background check
Job Locations US-CO-Englewood
Posted Date 3 weeks ago (10/8/2020 11:28 AM)
Requisition ID 2020-13406
Position Category Other
Internal Reference 406