Collections Specialist I - Medicaid (remote)

Community Health Systems

United States, United States
On-site
Medicaid collections follow-up
Insurance payer communication
Account activity documentation
The Collections Specialist I - Medicaid is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms

Job Summary

  • The Collections Specialist I - Medicaid is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms.
  • This role requires effective communication with insurance payers, documentation of account activity, and adherence to applicable regulations to support revenue cycle operations.
  • Analyze assigned accounts using AS400, Meditech, Accurint, Cerner, directory assistance, and credit reports to maximize collection efforts.

Matching Summary

The Collections Specialist I - Medicaid is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms.

Skills & Requirements

Must-have

  • Medicaid collections follow-up
  • Insurance payer communication
  • Account activity documentation
  • Regulatory compliance adherence
  • EMR and patient accounting systems

Nice-to-have

  • Professional and courteous communication
  • Problem-solving and analytical skills
  • Attention to detail
  • Independent work in fast-paced environment

Key Requirements

  • 0-2 years of experience
  • H.S. Diploma or GED required
  • Associate Degree preferred
  • Medical collections experience
  • Healthcare revenue cycle operations
  • Insurance follow-up experience
  • Claim resolution experience
  • Payer communication experience

Work Rights

Not specified

Tailored Resume

Cover Letter