Medicaid Follow-Up Specialist

To support the efficient processing of claims, the full-time remote Medicaid Follow-Up Specialist will manage the timely editing, submission, and follow-up of assigned claims across various payer types, ensuring compliance with departmental standards and providing guidance to team members. Key responsibilities: Ensures timely submission of clean claims and resolves complex issues related to claims processing Reviews and analyzes claims for accuracy, identifies denials, and communicates with relevant stakeholders for resolution Maintains detailed records of claim statuses and assists in training junior financial services representatives Required qualifications: Associate degree or three additional years of relevant experience Minimum of 5 years of experience in healthcare revenue cycle management, focusing on Medicaid claims In-depth knowledge of Medicaid policies and regulations Proficiency in healthcare billing software and systems Strong analytical skills for interpreting complex claim data