Medicaid Account Specialist

To ensure accurate reimbursement and timely follow-up throughout the billing lifecycle, the full-time Medicaid Account Resolution Specialist will resolve Medicaid claims after submission while working remotely. Key responsibilities: Review and resolve pending, on hold, denied, or incorrectly paid Medicaid claims to secure accurate reimbursement Evaluate denial reasons, determine corrective actions, and complete timely follow-up to expedite claims payment Document all actions taken on claims in the billing system to maintain accurate records and support compliance Required qualifications: High School Diploma or equivalent Strong computer proficiency, including MS Outlook, Word, and Excel Minimum typing speed of 40 WPM with accuracy Experience in metrics-driven environments, such as call centers or performance-based roles Ability to manage a high volume of work while meeting strict deadlines