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Medicaid Administrator

COOLSOFT • Decatur, GA • 4h ago

(Jobs in Decatur, GA)

Requirement id 155136

Job title Administrator

Job location in Decatur, GA

Skills required Bachelor Degree In Computer Science, EHR System, Healthcare Billing Experience, Medicaid

Open Date 16-Sep-2025

Close Date

Job @type Contract

Duration 15 Months

Compensation DOE

Status requirement ---

Job interview @type ---

Email Recruiter:coolsoft

Job Description Administrator: Bachelor Degree In Computer Science, EHR System, Healthcare Billing Experience, Medicaid

Start Date : 10/6/2025

End Date : 12/31/2026

Submission Deadline : 09/19/2025

Client Info : DCBH - IT

Note :

MUST be local to Metro Atlanta

ONSITE REQUIRED.

Description :

Key Responsibilities:

Front Desk Data Validation and Correction

Utilize SQL queries and Mylnsight reporting tools to identify and correct front desk-related data

entry errors.

Perform routine audits for the following:

o Benefit Assignments: End-date outdated or incorrectly assigned benefits.

o Insurance Relationships: Ensure the insured relationship is correctly set to "Self."

o Checkout Status: Investigate patients who have not checked out and apply corrective

actions.

Clinical Data Integrity

Analyze service records for completeness, accuracy, and compliance with billing requirements.

Identify and correct:

o Document how data is currently being entered into Mylnsight. The primary objective is to

develop a Standard Operating Procedure (SOP) for each program, which will serve as

formal documentation to be shared with Patagonia.

o Missing Office and lab Visits in program services requiring both components.

o Billable Services lacking appropriate Evaluation & Management (E/M) or Office Visit

codes.

o Diagnoses missing associated E/M codes.

o Vaccination Admin Fees not entered for patients with Medicaid, Medicare, or Private

Insurance.

o Incorrect Service Entry Points ( e.g., services entered from the Front Desk instead of

Home View).

o Services logged under incorrect events.

Duplicate Record Management

Identify, merge, and clean up duplicate patient records using Mylnsight and supporting tools.

Maintain record consistency across the EHR to ensure accurate reporting and billing.

Required Qualifications:

Associates or Bachelors degree in Health Information Technology, Computer Science,

Healthcare Administration, or a related field.

Minimum of 2 years of experience working with EHR systems, preferably My lnsight by Nets mart.

Prof1c1ent ,n SQC"for data querying ana report generation.

Strong analytical and problem-solving skills.

Experience with data cleanup and auditing workflows in a healthcare setting.

Preferred Qualifications:

Experience working in a public health or clinical environment.

Familiarity with healthcare billing and insurance requirements (Medicaid, Medicare, Private).

Understanding of ICD/CPT coding and E/M documentation standards.

Competencies:

High attention to detail and data accuracy.

Ability to work independently and collaboratively with clinical and administrative staff.

Strong organizational and time-management skills.

Clear verbal and written communication.

Call502-379-4456 Ext 100for more details. Please provide Requirement id: 155136 while calling.

EOE Protected Veterans/Disability

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