Sr. Revenue Cycle Specialist: Medicaid Collections

3 weeks ago


Denver, United States IDR Healthcare Full time

IDR is seeking a Sr. Revenue Cycle Specialist focused in Medicaid Collections to join one of our top clients in Denver, Colorado. If you are looking for an opportunity to join a large organization and work within an ever-growing team-oriented culture, please apply today This is a fully remote contract-based position.

Responsibilities of the Sr. Revenue Cycle Specialist Medicaid Collections

  • Identify trends, conduct follow-up, and perform root cause analysis on unpaid and underpaid Medicaid and managed plan insurance claims
  • Research, appeal, and address claim rejections, underpayments, and denials according to policy and procedure (including but not limited to rebilling, correcting coding, calling the payer or clinic, and utilizing payor portals)
  • Resolve issues related to a patient's coordination of benefits (COB), demographic discrepancies, and Medicare/Medicaid eligibility
  • Identify and rectify billing issues related to updates outlined in Medicaid provider manuals and provider bulletins

Skills for the Sr. Revenue Cycle Specialist Medicaid Collections
  • Experience working with Medicaid and Medicare payers (required)
  • Healthcare revenue cycle, medical billing, and collections experience (3-5 years+) preferred
  • 2+ years of experience with generic accounting, transactions, or medical billing systems (preferred)
  • Intermediate computer proficiency in Microsoft Office tools including Excel, PowerPoint and Outlook (preferred)
  • Highschool Diploma or equivalent (required)
  • Associates or Bachelor's degree (preferred)


What's in it for you?
  • Competitive compensation package
  • Full Benefits; Medical, Vision, Dental, and more
  • Opportunity to get in with an industry leading organization
  • Close-knit and team-oriented culture

Why IDR?
  • 20+ Years of Proven Industry Experience in 4 major markets
  • Employee Stock Ownership Program
  • Dedicated Engagement Manager who is committed to you and your success
  • Medical, Dental, Vision, and Life Insurance
  • ClearlyRated's Best of Staffing® Client and Talent Award winner 10 years in a row
Salary: 25/hr

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