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Senior Medicaid Revenue Cycle Analyst

2 months ago

Denver, Colorado, United States IDR Healthcare Full time

IDR Healthcare is currently in search of a Senior Revenue Cycle Specialist with a focus on Medicaid Collections. This role is designed for individuals looking to contribute to a prominent organization while thriving in a collaborative environment. This position is fully remote and contract-based.


Key Responsibilities of the Senior Revenue Cycle Specialist - Medicaid Collections

  • Analyze trends, perform follow-ups, and conduct root cause assessments 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, which may include rebilling, correcting coding, contacting payers or clinics, and utilizing payer portals.
  • Address issues related to patient coordination of benefits (COB), demographic inconsistencies, and Medicare/Medicaid eligibility.
  • Identify and correct billing discrepancies based on updates from Medicaid provider manuals and bulletins.

Required Skills for the Senior Revenue Cycle Specialist - Medicaid Collections

  • Experience with Medicaid and Medicare payers is essential.
  • Preferred background in healthcare revenue cycle management, medical billing, and collections (3-5 years+).
  • At least 2 years of experience with general accounting, transactions, or medical billing systems is preferred.
  • Intermediate proficiency in Microsoft Office applications, including Excel, PowerPoint, and Outlook is advantageous.
  • 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, Dental, and more.
  • Opportunity to work with a leading organization in the industry.
  • A supportive and team-oriented work culture.

Why Choose IDR Healthcare?

  • Over 20 years of proven experience across four major markets.
  • Employee Stock Ownership Program.
  • A dedicated Engagement Manager focused on your success.
  • Medical, Dental, Vision, and Life Insurance coverage.
  • Recognized with ClearlyRated's Best of Staffing Client and Talent Award for 10 consecutive years.