Job Description

Medicaid Collections Specialist – Hospital Revenue Cycle

Location: Remote

Pay Range: $23.00 – $26.00 / Per hour

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.

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