Medicaid Account Recovery Specialist (OH)

Position Overview

Employment Type Temporary Contract, approximately 60 to 90 days 

Compensation $28.00 to $32.00 per hour, plus performance incentive 

Schedule Full time, 40 hours per week

Reports To Community and Corporate Leadership

Aviva Glendale is looking for an experienced Medicaid Account Recovery Specialist for a focused, short term engagement built around a clear goal: resolving a significant balance of outstanding Medicaid accounts receivable and converting it into collected cash. This is not a routine billing role. The person who takes this on will dig into why balances have gone unpaid, correct the issues behind them, follow up relentlessly with Medicaid and managed care partners, and drive dollars in the door.

The engagement is expected to run approximately 60 to 90 days. Success will be measured primarily by cash recovered, along with progress reducing Medicaid A/R aging, resolving denied or stalled claims, and putting billing processes in place that hold up after the assignment ends.

This role suits a Medicaid billing professional who is comfortable working aged, complicated accounts, who knows how to work a Medicaid agency or managed care organization until an answer comes back, and who wants to be rewarded directly for the results they produce.

What You Will Own

You will conduct a full review of the outstanding Medicaid receivables assigned to this engagement and sort every balance by resident, payer, age, reason for nonpayment, and likelihood of recovery. From there you will identify claims that were never submitted, submitted incorrectly, denied, rejected, underpaid, or simply stalled, and you will correct the billing or documentation problems behind each one.

You will resubmit claims, complete appeals where appropriate, and work directly with Medicaid, managed care organizations, case managers, and other payer contacts to push each account to resolution. You will stay with claims through the full revenue cycle rather than handing them off, and you will flag high value or time sensitive accounts immediately rather than letting them sit.

Alongside the recovery work, you will research Medicaid eligibility for the residents tied to outstanding balances, review Medicaid Waiver enrollment and authorization status, and coordinate with agencies, case managers, residents, and responsible parties to close any gaps that are holding up payment.

You will also look one level up: identifying the systemic issues, whether they are contract, billing, or status related, that allowed this receivable to build up in the first place, and putting recommendations in place so the team maintaining the account after you does not end up back in the same spot.

Reporting

You will maintain an account level recovery tracker covering resident, original balance, payer, aging, reason the payment is outstanding, action required and completed, claim or appeal status, expected reimbursement, cash collected, remaining balance, next action, responsible party, and expected resolution date.

You will provide a weekly recovery report to Aviva leadership summarizing beginning Medicaid A/R, cash collected, claims corrected or resubmitted, claims pending payment, appeals outstanding, balances determined uncollectible, remaining collectible A/R, and projected additional recovery.

What You Bring

Hands on experience with Medicaid billing and accounts receivable recovery, ideally including work with Ohio Medicaid specifically. Working knowledge of the Yardi system is required. You are someone who can look at a stalled account and figure out whether it is a contract issue, a billing issue, or a status issue, and who does not let a claim go quiet without following up again.

Experience in Indiana is a plus. While there is a possibility the role could extend or shift down the road, it should be approached as a defined 60 to 90 day assignment.

Compensation and Incentive

Base pay for this engagement is $28.00 to $32.00 per hour, based on Medicaid billing and recovery experience.

On top of hourly pay, there is bonus potential tied to recovery targets. Aviva will offer a performance incentive based on verified Medicaid cash actually received and posted, not simply claims submitted or approved. Final incentive terms will be documented in the contractor's written agreement before the assignment begins.

Contract Eligibility

This is a contract opportunity, and we would welcome candidates who are eligible to work on either W2 contract or 1099 contract terms. Please note that we are not able to sponsor for contract opportunities at this time.

Aviva Senior Living has achieved designation as a Great Place to Work and is an Equal Opportunity Employer and a Drug-Free Workplace.

The final pay offered to a successful candidate will be dependent on several factors that may include but are not limited to the type and years of experience within the job, the type of years and experience within the industry, education, etc.