Medicaid Revenue Specialist

Job Summary

Ensuring proper submission and adjudication of Medicaid claims, the full-time remote Medicaid Revenue Specialist will manage patient eligibility verification, analyze claim payments, and handle medical records to facilitate prompt reimbursement.

Key Responsibilities

• Verify patient eligibility and analyze Medicaid claim payments for compliance with state fee schedules
• Research and submit necessary medical records and documentation with claims to ensure accurate reimbursement
• Conduct follow-up with payers to confirm receipt of claims and facilitate timely payments

Required Qualifications

• High School Diploma or GED required; Associates or Bachelor's Degree preferred
• 1-2+ years of experience in healthcare billing or collections
• 1+ years of experience with UB-04 billing and collections required
• Intermediate understanding of insurance payer/provider claims processing
• Strong computer proficiency, including MS Office applications