Senior Specialist in Revenue Cycle Management: Medicaid Focus
1 week ago
IDR Healthcare is in search of a Senior Specialist in Revenue Cycle Management with a focus on Medicaid Collections. This role is designed for professionals eager to contribute to a dynamic and collaborative environment. This position is fully remote and contract-based.
Key Responsibilities:
- Analyze trends, perform follow-ups, and conduct root cause analysis on unpaid and underpaid Medicaid and managed care insurance claims.
- Investigate, appeal, and resolve claim rejections, underpayments, and denials in accordance with established policies and procedures, including rebilling, correcting coding, and utilizing payer portals.
- Address issues related to patient coordination of benefits (COB), demographic discrepancies, and eligibility for Medicare/Medicaid.
- Identify and correct billing discrepancies in line with updates from Medicaid provider manuals and bulletins.
Required Skills:
- Experience with Medicaid and Medicare payers is essential.
- Preferred background in healthcare revenue cycle, medical billing, and collections (3-5 years+).
- 2+ years of experience with general accounting, transactions, or medical billing systems is advantageous.
- Intermediate proficiency in Microsoft Office applications, including Excel, PowerPoint, and Outlook.
- A high school diploma or equivalent is mandatory.
- An Associate's or Bachelor's degree is preferred.
Benefits Offered:
- Competitive salary package.
- Comprehensive benefits including Medical, Vision, and Dental coverage.
- Opportunity to work with a leading organization in the industry.
- A supportive and collaborative team culture.
Why Choose IDR Healthcare?
- Over 20 years of proven experience in key markets.
- Employee Stock Ownership Program.
- Dedicated Engagement Manager focused on your success.
- Medical, Dental, Vision, and Life Insurance benefits.
- Recognized as a Best of Staffing Client and Talent Award winner for 10 consecutive years.
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