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Remote Medicaid Collector

Addison Group -
Mesquite, TX

Quick Apply

Job Details

Contract
$23 - $26 an hour
4 days ago

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance

Qualifications

Research
Health insurance knowledge
Medical claims submission
Medicaid
Medical debt collection accounts
Hospital experience
Collections account management

Full Job Description

Medicaid Collections Specialist – Hospital Revenue Cycle

Location: Remote

Pay Range: $23–$26/hr

Start Date: ASAP

Benefits: This position is eligible for medical, dental, vision and 401(k).

This is a long term contract role with potential to be hired on

About Our Client

Addison Group is hiring for our client, an established healthcare organization, seeking an experienced Medicaid Collections Specialist to support its hospital revenue cycle operations.

This position is focused primarily on inpatient rehabilitation Medicaid accounts, including high-dollar and significantly aged claims. The ideal candidate has strong hospital-side Medicaid and Managed Medicaid experience and is comfortable independently researching complex reimbursement issues through resolution.

Job Description

The Medicaid Collections Specialist will manage outstanding hospital claims from research through final resolution. This role requires someone who understands the full Medicaid billing and collections process and can identify why a claim has not paid correctly, determine the appropriate next step, and take ownership of the account.

Most research and follow-up will be completed electronically through billing systems and payer portals, with phone outreach primarily reserved for claims requiring additional clarification.

Key Responsibilities

Manage Medicaid and Managed Medicaid hospital accounts receivable
Research high-dollar, aged, denied, and unpaid claims
Review claim history to identify the underlying reason for nonpayment
Determine the appropriate billing or collection action needed to resolve outstanding accounts
Correct and resubmit claims when necessary
Review payer responses and reimbursement information for accuracy
Navigate Medicaid payer portals and healthcare billing systems to research account status
Work claims independently from initial research through final resolution
Maintain complete and accurate documentation of all account activity
Prioritize complex accounts while consistently meeting daily productivity expectations
Escalate unusual reimbursement issues when additional support is required

Required Qualifications

3+ years of Medicaid collections experience
Recent hospital/facility billing or collections experience
Experience working with Medicaid and Managed Medicaid claims
Strong understanding of hospital reimbursement and insurance claim workflows
Ability to explain the Medicaid billing and collections process from start to finish
Experience researching denials and identifying appropriate corrective action
Strong analytical and critical-thinking abilities
Excellent attention to detail and follow-through
Strong verbal and written communication skills

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

#HC1

Quick Apply

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Medicaid Collections Specialist – Hospital Revenue Cycle

About Our Client

Job Description

Key Responsibilities

Required Qualifications

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