PFS Insurance Follow Up – Medicaid HMO

Job Description

  • About Us
    • CoxHealth is a leading healthcare system serving 25 counties across southwest Missouri and northern Arkansas. The organization includes six hospitals, 5 ERs, and over 80 clinics. CoxHealth has earned the following honors for workplace excellence:
      • Named one of Modern Healthcare’s Best Places to work five times.
      • Named one of America’s Greatest Workplaces by Newsweek.
      • Recognized as a Greatest Workplace for Women in both 2023 and 2024.
      • Listed as one of the Greatest Workplaces for Diversity in 2024.
      • Acknowledged by Forbes as one of the Best Employers for New Grads.
      • Ranked among the Best Employers by State for Missouri.
  • Benefits
    • Medical, Vision, Dental, Retirement Plan with employer match, and many more!
    • For a comprehensive list of benefits, please click here: Benefits | CoxHealth
  • Job Summary
    • The PFS Medicaid MCD MGN Credit team will resolve any credits that are in the Medicaid or Medicaid Managed care bucket. This position must be able to review, resolve, and determine the cause of any credit balance. Correctly refunded, transfer, or adjust credits to resolve credit balances. This position must be able to balance and resolve credit balances on accounts in a timely manner. Review and resolve refund requests by Medicaid or Medicaid Managed care. Has a basic knowledge of all office functions and is responsible for completing work assignments efficiently resulting in the desired reduction of outstanding accounts receivable.
  • Job Requirements
    • Education
      • Required: High School diploma or equivalent
    • Experience
      • Preferred: 1 year business office experience
    • Skills
      • Strong analytical skills to recognize problems
      • Excellent computer skills and strong aptitude to learn and maximize use of applications
    • Licensure/Certification/Registration
      • N/A