Support accurate and timely reimbursement in the healthcare space by managing Medicaid payer claims for a leading medical alarm provider. Medical Guardian (MedScope division) is seeking an experienced Revenue Cycle Specialist to join its billing team and ensure payer compliance, denial resolution, and streamlined revenue processes.
About Medical Guardian (MedScope Division)
Medical Guardian, through its MedScope division, is a fast-growing leader in the medical alarm industry with a strong commitment to patient safety and operational excellence. This role directly supports the revenue cycle, focusing on Medicaid payers and managed care organizations to maintain financial integrity across healthcare services.
Schedule
- Full-time, Remote (U.S.)
- Monday–Friday, 9:00 AM – 5:00 PM EST
- Must permanently reside in: PA, DE, GA, MI, NC, TX, NJ, or FL
Compensation
- $22/hour
Responsibilities
- Manage a defined book of Medicaid and insurance payers, serving as the subject matter expert
- Meet or exceed productivity goals and KPIs tied to collection percentages
- Conduct timely follow-up on outstanding claims to ensure resolution and reimbursement within payer timelines
- Review, analyze, and appeal denied/underpaid claims per payer policies
- Identify denial/underpayment trends and escalate issues to management
- Communicate with payers via phone, portals, or written correspondence
- Accurately document all claim activity in the billing system for audit purposes
- Monitor payer deadlines and authorization processes to ensure compliance
- Submit corrected claims and reconsiderations as needed
- Stay current on payer guidelines and workflows
- Limited phone work (primarily with care managers, minimal direct patient contact)
Requirements
- Must be legally authorized to work in the U.S. (no sponsorship available)
- Proficiency in Microsoft Office
- Strong analytical, problem-solving, and communication skills
- Organized, detail-oriented, and able to multitask effectively
- Friendly, professional phone demeanor
- Self-starter with ability to work independently and as part of a small team
- Reliable, punctual, and professional
Desired Experience
- High school diploma or equivalent required; Associate’s or Bachelor’s preferred
- 2+ years of experience in medical billing or revenue cycle management (insurance follow-up or A/R focus)
- Experience with Medicaid and Managed Care Organizations a plus
- Knowledge of claim lifecycles, payer policies, and denial management
- Familiarity with Salesforce and/or Waystar preferred
Benefits
- Health, dental, and vision coverage
- Paid time off (vacation & holidays)
- Short- and long-term disability
- 401(k) retirement plan
Join Medical Guardian and play a key role in ensuring financial strength and operational excellence within a mission-driven healthcare company.
Happy Hunting,
~Two Chicks…