Senior Specialist in Revenue Cycle Management: Medicaid Focus

1 week ago


Denver, Colorado, United States IDR Healthcare Full time

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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