01Key Responsibilities
Coordinate and manage daily administrative operations related to NEMT services.
Work directly with insurance brokers and payers for eligibility verification, pre-authorizations, and policy alignment.
Manage and submit medical transportation claims for Medicaid/Medicare and private insurers.
Handle billing, coding, and documentation to ensure accurate and timely reimbursements.
Support credentialing, contract management, and affiliation processes with NEMT brokers (e.g., ModivCare, MTM).
Track and resolve denied claims, resubmissions, and follow-ups.
Maintain driver and patient records with a high level of confidentiality and HIPAA compliance.
Assist with audits, reports, and compliance documentation.
Communicate effectively with fleet operators, drivers, healthcare providers, and patients.
Qualifications:
2+ years of administrative experience in the NEMT, insurance, or healthcare billing field
Familiarity with NEMT brokers such as ModivCare, MTM, Access2Care, etc.
Working knowledge of medical billing software, HCPCS/CPT coding, and claims submission portals.
Strong understanding of Medicaid and Medicare transportation billing guidelines.
Experience working with insurance brokers and/or third-party administrators.
Excellent written and verbal communication skills.
Strong organizational skills with attention to detail and the ability to multitask.
Proficient in Microsoft Office Suite and/or Google Workspace.
Preferred Qualifications (Not Required):
Certification in Medical Billing & Coding (CPC, CMRS, or equivalent).
Prior experience with NEMT dispatch platforms or ride management systems.
Experience with transportation licensing or DOT compliance. .
