Medicaid Collections Specialist

Job Summary

To support revenue cycle operations, the full-time remote Medicaid Collections Specialist I will perform collection follow-up on outstanding insurance balances, identify claim issues, and ensure timely resolution in compliance with government and managed care contract terms.

Key responsibilities

• Perform follow-up on outstanding insurance balances, obtaining payment confirmation or required documentation within the required timeframe
• Document all actions taken on accounts to ensure a clear and traceable resolution process
• Make outbound calls to insurance payers while maintaining professional communication and handling incoming correspondence efficiently

Required qualifications

• H.S. Diploma or GED required; Associate Degree in Business, Finance, Healthcare Administration, or a related field preferred
• 0-2 years of experience in medical collections, accounts receivable, billing, or healthcare revenue cycle operations required
• Experience with insurance follow-up, claim resolution, and payer communication in a healthcare setting preferred