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 equival .
