Remote Medicaid Collections Specialist

Job Summary

Responsible for processing and verifying reimbursement claims, the full-time Remote Medicaid Collections Specialist will ensure accuracy and compliance while collaborating with internal teams to resolve discrepancies and facilitate timely payment collection.

Key responsibilities

• Processes and verifies reimbursement claims, ensuring compliance with payer guidelines
• Reviews and resolves claim discrepancies, taking appropriate actions for incorrect payments and denials
• Monitors outstanding claims and collaborates with revenue cycle teams to address denials and appeals

Required qualifications

• H.S. Diploma or GED required
• Associate Degree or coursework in Accounting, Finance, Healthcare Administration, or related field preferred
• 0-1 years of experience in medical billing, reimbursement, claims processing, or accounts receivable required
• Experience with payer reimbursement policies and healthcare revenue cycle operations preferred