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Medicaid Claims Resolution Support Specialist needed ASAP (Farragut North)
$24-26/hour
Craigslist
Full-time
Onsite
No experience limit
No degree limit
1780 Massachusetts Ave NW, Washington, DC 20036, USA
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Description

At least seventeen (17) Medicaid Claims Resolution Support Representatives are needed for a long-term project in DC. These positions are 100% onsite and located downtown near Farragut North Metro Station. The Midtown Group is teaming up with a leading technology company to support a D.C. government department that offers its residents a Medicaid program. Our collective goal is to modernize and optimize DC's Medicaid program while offering outstanding customer support. Our venture is focused on improving outcomes, enhancing provider experiences, and safeguarding program integrity. For this project, our partner will provide technology, and we will provide people and expertise across several functions, including contact center operations. Claims Resolution Representatives will support D.C. medical providers who need assistance with Medicaid benefits. These positions are in-person, located in Downtown D.C. There are no plans to move to hybrid or fully remote models. Interviews begin on Tuesday, 12/9/25, and these engagements are expected to start on 1/16/26 and may continue for up to two or three years or longer. Activities: •Review and research claims based on claims processing guidelines. •Refer claims to the appropriate department. •Prepare Return to Provider (RTP) forms as necessary when required claim information is missing or invalid. •Self-motivated with good time management and organization skills. •Ability to work with several different teams, tasks, and completing deadlines to ensure all work is completed accurately. •Other duties as assigned Pre-requisites: •Bachelor’s degree or equivalent work experience or combination of education and experience. •A minimum of 2 years of previous experience for a government or private sector inbound customer service center (Preferred) •Knowledge of basic help desk software, computer software and Microsoft Office applications. •Strong problem-solving skills to bring inquiries to effective resolution. •Strong customer service skills with an emphasis on written and oral communication to respond to inquiries professionally. •Ability to identify the correct stakeholders to consult to resolve client inquiries. Work Requirements: •Hours of Operation: Within the hours of 7:45 AM –5:15 PM, Eastern Time, Monday - Friday candidate must be able to work any assigned 8-hour shift between these hours. •Work environment is onsite in Washington DC. The contact center is closed on Federal holidays. Candidates must be able to work 40 hours per week. The base period for this contract is through November 2026, with two further annual option periods. So, this contract could run until November 2028.

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