Mavensoft Technologies

Medical Claims & Eligibility Coordinator

Mavensoft Technologies  •  Nashville, TN (Hybrid)  •  5 hours ago
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Job Description

Title: Medical Claims & Eligibility Coordinator

Location: Nashville, TN - Hybrid

Duration: 12 Months – W2 Role

Position Summary

Responsible for supporting the administration of medical service payments, client eligibility processing, vendor coordination, and payment denials under the Ryan White Part B program. Ensures accurate documentation, compliance with program requirements, and timely processing of invoices and eligibility applications.

Key Responsibilities

  • Review and process medical service invoices, verify client eligibility, and ensure compliance with payer-of-last-resort requirements.
  • Enter invoices into PTBMIS to authorize payments and monitor payment processing status.
  • Assist with payment denials, including vendor correspondence, tracking, and recoupment procedures.
  • Maintain and distribute updated Ryan White Part B Fee Schedules.
  • Assist with the annual Authorization to Vendor process and maintain related documentation.
  • Review and process client eligibility applications through the Ryan White Eligibility System (RWES).
  • Maintain accurate records and ensure compliance with program policies, procedures, and confidentiality requirements.
  • Perform other related duties as assigned.

Please send resumes to usjobs@mavensoft.com to apply!

Mavensoft Technologies

About Mavensoft Technologies

Mavensoft Technologies provides innovative cutting edge technology to deliver customer satisfaction, boost productivity by leveraging process optimization and efficiency within the Modern Workplace.

Step into our sphere of actionable real-time data, reduced costs, improved responsiveness, proven demand generation surrounding new initiatives, products and services.

As a dynamic IT services company founded in 2004, we have deployed and implemented scalable consultation, custom-development, and staffing service projects to SMBs and Enterprise-level organizations globally since 2004.

Solutions

- IT Staff Augmentation

- Enterprise IT Cloud Services (ServiceNow)

- Application Development

- Web Development

- Embedded Software Engineering

- Software Testing/QA

Expertise

Though well versed in technological specializations; Mavensoft’s expertise lies in the following:

- .NET

- LAMP

- Java

- ERP

- ITSM

- C & C++

- Web Technologies

Why Mavensoft?

- Vast & diverse pool of exclusive-to-Mavensoft consultants/candidates

- Successful roster of high profile clients

- High touch, friendly, customer-centric approach

- Dedicated, highly specialized teams in U.S. & India

- State-of-the-art software development center in Hyderabad, India

- Minority owned enterprise, in business since 2004

Would you like to know more about how Mavensoft can help optimize your technology? We’d be happy to offer you a completely cost-free consultation

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We look forward to discussing your current and future technology needs.

Industry
IT & Software
Company Size
51-200 employees
Headquarters
Beaverton, OR
Year Founded
2004
Website
mavensoft.com
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