Medical Accounts Receivable Specialist
Responsibilities:
• Create and submit locality invoices and Medicaid claims each month, ensuring all billing is complete, accurate, and delivered within established timelines.
• Examine remittance details and explanation of benefits documents to identify denials, short payments, rejections, and other reimbursement variances.
• Research claim issues, correct billing errors, gather required backup, and resubmit claims in alignment with payer rules and documentation standards.
• Track open receivables and unpaid claims, following up consistently to improve cash collections and reduce aging balances.
• Prepare and reconcile billing reports to confirm authorizations, eligibility, supporting records, and overall billing accuracy before submission.
• Maintain compliance with Medicaid requirements, payer terms, and internal billing procedures while keeping records organized and audit-ready.
• Manage accounts receivable activity by reviewing aging reports, documenting collection actions, resolving overdue balances, and sharing progress updates with leadership.
• Post payments, deposits, and account adjustments accurately across customer, Medicaid, locality, and third-party payer accounts using available support documentation.
• Partner with operational, program, and accounting teams as well as external payer contacts to resolve billing questions, payment discrepancies, and collection obstacles.
• Assist with month-end receivable tasks, including reconciliations, deposit balancing, payment verification, and analysis of recurring denial or billing trends.
Qualifications:
• Experience in medical accounts receivable, billing, or revenue cycle work, preferably in a healthcare or Medicaid-focused environment.• Working knowledge of accounts receivable processes, cash application, payment posting, and collections follow-up.
• Familiarity with Medicaid billing, claim submission, remittance review, and denial resolution procedures.
• Ability to analyze billing reports, aging schedules, and account activity to identify discrepancies and outstanding items.
• Strong attention to detail with the ability to maintain accurate financial and billing documentation.
• Effective communication skills for coordinating with internal teams, payer representatives, and customer contacts.
• Proficiency in handling multiple deadlines while maintaining compliance with billing guidelines and organizational policies.
Compensation
$19.79-$25.00 HourlyAbout Us
Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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