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Medicaid Collection Specialist Jobs (NOW HIRING)

RV BEHAVIORAL LLC

Collection Specialist

Smyrna, GA · On-site

$23 - $26/hr

The Collections Specialist is a multi-task position that covers all the main functions of the ... Contacting commercial and managed Medicaid payors to collect on unpaid claims in a timely and ...

6AM City

Medical Collector

Florida, NY · Remote

$19.50 - $25.75/hr

The medical billing and collection specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment ...

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Medicaid Collection Specialist information

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How much do medicaid collection specialist jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for medicaid collection specialist in the United States is $19.44, according to ZipRecruiter salary data. Most workers in this role earn between $15.38 and $20.91 per hour, depending on experience, location, and employer.

What does a Medicaid Collection Specialist do?

A Medicaid Collection Specialist is responsible for managing and processing claims related to Medicaid payments for healthcare providers or organizations. Their main tasks include reviewing patient accounts, ensuring proper documentation, submitting claims to Medicaid, and following up on unpaid or denied claims. They work to resolve discrepancies, appeal denied claims, and ensure that the organization receives accurate and timely reimbursement from Medicaid. Strong knowledge of Medicaid regulations and billing procedures is crucial for success in this role.

What is the difference between Medicaid Collection Specialist vs Medical Billing Specialist?

AspectMedicaid Collection SpecialistMedical Billing Specialist
CredentialsHigh school diploma, certification in medical billing or collections often preferredHigh school diploma, certification in medical billing or coding often preferred
Work EnvironmentHealthcare facilities, insurance companies, government agenciesMedical offices, hospitals, billing companies
Primary ResponsibilitiesCollect overdue Medicaid payments, follow up on claims, ensure compliancePrepare and submit insurance claims, process payments, manage billing records

While both roles involve working with healthcare payments, Medicaid Collection Specialists focus on recovering Medicaid funds and managing collections, whereas Medical Billing Specialists handle the entire billing process, including claim submission and payment processing. Understanding these differences helps job seekers find the right fit based on their skills and career goals.

What are the key skills and qualifications needed to thrive as a Medicaid Collection Specialist?

To thrive as a Medicaid Collection Specialist, you need strong knowledge of healthcare billing, Medicaid regulations, and accounts receivable management, typically supported by experience in medical billing or a related field. Familiarity with billing software, Medicaid claim submission systems, and electronic health records (EHRs) is essential. Attention to detail, problem-solving abilities, and effective communication skills help professionals resolve claim discrepancies and work with patients or insurance representatives. These competencies are vital to ensure accurate reimbursement, minimize denied claims, and maintain the financial health of healthcare organizations.

What are some common challenges Medicaid Collection Specialists face when working with state agencies and healthcare providers?

Medicaid Collection Specialists often encounter challenges such as navigating complex billing regulations, resolving discrepancies in patient eligibility, and managing delayed payments from state agencies. They frequently need to communicate with both healthcare providers and government representatives to clarify documentation requirements and follow up on outstanding claims. Staying organized and up-to-date with changing Medicaid policies is essential to ensure compliance and maximize collections, making attention to detail and strong communication skills critical for success in this role.
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What are popular job titles related to Medicaid Collection Specialist jobs? For Medicaid Collection Specialist jobs, the most frequently searched job titles are:
Medicaid Collection Specialist jobs near you
Infographic showing various Medicaid Collection Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $40,441 per year, or $19.4 per hour.

Collection Specialist- Infusion Pharmacy / Remote

Amerita

Englewood, CO • On-site

$18.25 - $24.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago

Job description

Our Company

Amerita

Overview

Amerita, Inc. is a leading provider in home Infusion therapy. We are looking for a Collection Specialist to join our Revenue Cycle Management (RCM) team as we grow to be one of the top home infusion providers in the country. The Collection Specialist will report to the Collection Manager and work in our Centennial, CO office. 

Amerita is an entrepreneurial-founded company and a wholly owned subsidiary of PharMerica. The home infusion market is positioned for rapid growth driven by the aging population, increase in chronic diseases, robust pipeline of infusible drugs coming to market, and an industry shift from hospital delivery settings to lower-cost, high-quality alternative providers such as Amerita.

The Collection Specialist-Denials team is responsible for a broad range of collection processes related to medical accounts receivable in support of a single or multiple site locations. The employee will proactively work assigned accounts and denials to maximize accurate and timely payment. Above all, the Collection Specialist demonstrates exceptional internal and external customer service skills and actively promotes Amerita's company culture.

What We Offer:

  • DailyPay
  • Flexible Schedules
  • Competitive Pay with Shift Differentials
  • Health, Dental, Vision, and Life Insurance
  • Company-Paid Disability Insurance
  • Tuition Assistance & Reimbursement
  • Employee Discount Program
  • 401k Plan
  • Paid Time Off
  • Non-Retail, Closed-Door Environment
Responsibilities

As a Collection Specialist, you will...

  • Ensures daily accomplishments work towards company goals for cash collections by accurately working all assigned AR over 60 days if working aging and all denied claims within 7 days of posted denial if working denials
  • Understands and adheres to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing and collection practices
  • Research outstanding balances and takes necessary collection action to resolve in a timely manner; recommends necessary demographic changes to patient accounts to ensure future collections
  • Research assigned correspondence; takes necessary action to resolve requested information in a timely manner; establishes appropriate follow up
  • Resubmits accurate and timely claims in formats including, but not limited to, CMS-1500 and electronic 837
  • Utilizes most efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions
  • Negotiates payment plans with patients in accordance with company collection policies
  • Identifies patterns and trends of denials, short-payment or non-payment and brings them to the attention of appropriate supervisory personnel
  • Reviews insurance remittance advices for accuracy. Identifies billing errors, short-payments, overpayments and unpaid claims and resolves accordingly, communicating any needed system changes
  • Reviews residual account balances after payments are applied and generates necessary adjustments (within eligible guidelines), overpayment notifications, refund requests and secondary billing
  • Interacts with third party collection agencies
  • Communicates consistently and professionally with other Amerita employees
  • Works within specified deadlines and stressful situations
  • Works overtime when necessary to meet department goals and objectives
Qualifications
  • High School Diploma/GED or equivalent required; some college a plus
  • A minimum of one (1) year experience in medical collections with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus
  • Working knowledge of automated billing systems; experience with CPR+ preferred
  • Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding
  • Solid Microsoft Office skills required, including Word, Excel and Outlook
  • Ability to type 40 wpm and proficiency with 10-key calculator
  • Ability to independently obtain and interpret information
  • Strong verbal and written communication skills
  • This position does not have supervisory responsibilities
  • This position does not require travel
  • While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee is frequently required to walk and use hands to finger, handle or feel. The employee is occasionally required to stand and reach with hands and arms. The employees must frequently lift and/or move up to 10 pounds and occasionally lift and or move up to 30 pounds. Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus.
  • The noise level in the work environment is usually moderate

**Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice**

About our Line of BusinessAmerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.  Salary RangeUSD $19.00 - $21.00 / HourEmployment Type: FULL_TIME

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