Manage Medicaid payer accounts to ensure timely, accurate reimbursement for healthcare services.
About MedScope (A Division of Medical Guardian)
MedScope is a leader in the medical alarm industry, dedicated to delivering exceptional service and support for customers nationwide. Our Revenue Cycle Department ensures smooth claims processing and payer communication to keep our services accessible and effective.
Schedule
- Full-time: 9:00 AM – 5:00 PM EST
- Must reside in PA, DE, GA, MI, NC, TX, NJ, or FL
Pay
- $22/hour
What You’ll Do
- Manage a set portfolio of Medicaid payer accounts as the subject matter expert.
- Follow up on outstanding claims, ensuring resolution within payer timelines.
- Review and appeal denied or underpaid claims in line with payer policies.
- Identify denial trends and escalate to management when needed.
- Communicate with insurance companies via phone, portals, or correspondence.
- Submit corrected or reconsidered claims as necessary.
- Maintain accurate documentation of all claim activity for audit purposes.
- Stay current with payer-specific guidelines, filing limits, and authorization rules.
What You Need
- Legal authorization to work in the U.S. (no sponsorship).
- High school diploma or equivalent (associate or bachelor’s degree preferred).
- 2+ years in medical billing or revenue cycle management, ideally with Medicaid experience.
- Strong analytical and critical-thinking skills.
- Proficiency in Microsoft Office; familiarity with Salesforce or Waystar a plus.
- Excellent written and verbal communication skills.
- Ability to work independently in a remote, deadline-driven environment.
Benefits
- Medical, dental, and vision insurance
- Paid time off and holidays
- Short- and long-term disability coverage
- 401(k) retirement plan
Happy Hunting,
~Two Chicks…