
Medicaid Claims Analyst
Welcome to Teva Pharmaceutical USA, a leading global pharmaceutical company dedicated to improving the lives of patients through innovative and accessible medications. We are currently seeking a highly skilled and detail-oriented Medicaid Claims Analyst to join our team. In this role, you will play a crucial part in ensuring accurate and timely processing of Medicaid claims, contributing to our mission of providing affordable healthcare solutions to those in need. The ideal candidate will have a strong understanding of Medicaid policies and procedures, excellent analytical skills, and a passion for making a positive impact in the healthcare industry. If you are ready to be a part of a dynamic and impactful team, we encourage you to apply for this exciting opportunity.
- Process and analyze Medicaid claims accurately and in a timely manner.
- Ensure compliance with all Medicaid policies and procedures.
- Identify and resolve any discrepancies or issues with Medicaid claims.
- Collaborate with internal teams and external partners to gather necessary information for claims processing.
- Maintain up-to-date knowledge of Medicaid regulations and guidelines.
- Utilize strong analytical skills to review and validate claims data.
- Identify areas for process improvement and recommend solutions to enhance efficiency and accuracy.
- Communicate with healthcare providers and patients regarding claim status and any necessary follow-up actions.
- Work closely with the billing and coding team to ensure accurate submission of claims.
- Monitor and report on Medicaid claims processing metrics to track performance and identify trends.
- Participate in training and development programs to expand knowledge and skills related to Medicaid claims processing.
- Foster a positive and collaborative work environment within the claims processing team.
- Adhere to all company policies, procedures, and ethical standards.
- Represent the company in a professional and courteous manner at all times.
- Contribute to the overall mission of providing affordable healthcare solutions to patients in need.
Excellent Communication And Interpersonal Skills, With The Ability To Work Collaboratively With Cross-Functional Teams.
Strong Analytical And Problem-Solving Skills.
Minimum Of 2 Years Experience In Medicaid Claims Processing And Reimbursement.
Bachelor's Degree In Healthcare Administration, Business Administration, Or Related Field.
Knowledge Of State And Federal Medicaid Regulations And Guidelines.
Data Analysis
Claims Processing
Medical Terminology
Medical coding
Payment reconciliation
Insurance Coverage
Electronic Health Records
Medicare/Medicaid Regulations
Claim Auditing
Claims Denials
Communication
Conflict Resolution
Emotional Intelligence
Leadership
Time management
creativity
Critical thinking
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Medicaid Claims Analyst in Parsippany-Troy Hills, NJ, USA is $48,000 - $65,000 per year. This may vary depending on the specific job responsibilities, level of experience, and the employer.
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Teva Pharmaceutical Industries Ltd., also known as Teva Pharmaceuticals, is an American Israeli pharmaceutical company with dual headquarters in Petah Tikva, Israel and Parsippany, New Jersey, U.S. Teva Pharmaceutical Industries Ltd. engages in the provision of pharmaceutical services. It operates through the following business divisions: Generic, Specialty Medicine, and Over-the-Counter (OTC).

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