📍 Remote – PA, DE, GA, MI, NC, TX, NJ, or FL only
🧾 About the Role
MedScope, a division of Medical Guardian, is a growing player in the medical alert industry. They’re hiring a Revenue Cycle Specialist to manage Medicaid insurance claims and maximize reimbursement accuracy. You’ll be the key contact for your assigned payer accounts—handling claim follow-ups, resolving denials, and ensuring clean documentation across the board. This is a full-time remote position for candidates located in specific states (see below).
✅ Position Highlights
• $22/hour
• Full-time, Remote (must reside in PA, DE, GA, MI, NC, TX, NJ, or FL)
• Schedule: Mon–Fri, 9:00 AM–5:00 PM EST
• Medical, Dental, Vision
• 401(k) Retirement Plan
• PTO + Holidays
• Short/Long Term Disability
📋 What You’ll Own
• Oversee a dedicated portfolio of Medicaid payers
• Resolve denials, underpayments, and outstanding claims
• Track KPIs tied to collections and resolution targets
• Submit corrected claims, appeals, and reconsiderations
• Follow up with insurance companies via phone and portal
• Maintain accurate documentation for audit trails
• Identify trends and escalate problematic patterns
• Collaborate with care managers—not patients
🎯 Must-Have Traits
• 2+ years in medical billing or revenue cycle roles
• Experience with Medicaid and/or MCOs strongly preferred
• High school diploma required; degree preferred
• Familiarity with payer workflows, claim cycles, and denial codes
• Strong analytical and communication skills
• Proficiency in Microsoft Office
• Self-starter with strong time management
• Comfortable working independently in a remote setup
• Salesforce and Waystar experience a plus
💡 Why It’s a Win for Remote Job Seekers
This is a focused, back-end billing role with low patient contact—ideal for organized professionals who thrive on detail and structure. You’ll work a consistent weekday schedule, enjoy full benefits, and be part of a mission-driven team helping improve care outcomes nationwide.
✍️ Call to Action
If you’re an experienced Medicaid biller ready to dive into a high-impact remote role, this could be your next home. Apply and bring your critical thinking to a team that values efficiency, ownership, and results.