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Senior Specialist in Revenue Cycle Management: Medicaid Collections
2 months ago
Position Overview:
The role of Senior Revenue Cycle Specialist focuses on Medicaid collections, ensuring effective management of claims and reimbursements.
Work Schedule: 8-hour shifts during regular business hours, Monday to Friday.
Required Skills and Qualifications:
- Proficient in Microsoft Office Suite, including Excel, Word, and Outlook.
- Demonstrated experience with Medicaid and Medicare payers.
- 3-5 years of experience in healthcare revenue cycle, medical billing, and collections is preferred.
Key Responsibilities:
- Analyze trends and perform follow-ups on unpaid and underpaid Medicaid and managed care insurance claims.
- Conduct research and appeal claim rejections, underpayments, and denials in accordance with established policies and procedures.
- Resolve issues related to patient coordination of benefits (COB) and Medicare/Medicaid eligibility.
- Identify and correct billing discrepancies as outlined in Medicaid provider manuals.
- Address patient benefit-related denials, including verification of plan requirements and financial risk assessments.
- Utilize various payer systems and internal applications to ensure timely resolution of claims.
- Build and maintain strategic relationships with internal and external stakeholders.
- Exhibit strong organizational, written, and verbal communication skills to document research and actions taken on claims.
- Ensure confidentiality of all company and patient information in compliance with HIPAA regulations.
Education Requirements:
- High school diploma or equivalent is required.
- Associate or bachelor's degree is preferred.
Additional Information:
- Only candidates authorized to work in the designated country will be considered.
- Position start dates and duration are estimates and may vary based on business needs.
Benefits:
For details on employment benefits associated with this position, please refer to the company’s benefits page.
Equal Opportunity Employment:
Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by law.
If assistance is needed during the application process, please contact the HR Department.
Compliance:
Rose International participates in the E-Verify program for employment verification.
