Administrative Coordinator - NEMT, Insurance & Medical Billing

The role involves coordinating and managing daily administrative operations related to Non-Emergency Medical Transportation (NEMT) services. You will be responsible for managing and submitting medical transportation claims for Medicaid/Medicare and private insurers, ensuring accurate and timely reimbursements through billing, coding, and documentation. Additionally, you will support credentialing, contract management, and affiliation processes with NEMT brokers such as ModivCare and MTM. Handling denied claims, resubmissions, and follow-ups, as well as maintaining driver and patient records with a focus on confidentiality and HIPAA compliance, are essential aspects of the role. You will also assist in audits, reports, and compliance documentation while effectively communicating with fleet operators, drivers, healthcare providers, and patients. To be successful in this position, you should have at least 2 years of administrative experience in the NEMT, insurance, or healthcare billing field. Familiarity with NEMT brokers like ModivCare and MTM, as well as proficiency in medical billing software, HCPCS/CPT coding, and claims submission portals is required. A strong understanding of Medicaid and Medicare transportation billing guidelines, experience with insurance brokers and/or third-party administrators, and excellent written and verbal communication skills are essential. Strong organizational skills, attention to detail, multitasking abilities, and proficiency in Microsoft Office Suite and/or Google Workspace are also necessary. Preferred qualifications, although not required, include certification in Medical Billing & Coding (CPC, CMRS, or equivalent), prior experience with NEMT dispatch platforms or ride management systems, and familiarity with transportation licensing or Department of Transportation (DOT) compliance.,