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Medicaid Collection Specialist Jobs (NOW HIRING)

Collection Specialist

$19 - $25.50/hr

The Collection Specialist supports the effective management of the revenue cycle process and ensures the accurate and timely collection of sales to third party payers (including Medicare, Medicaid ...

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Overview An advanced level Medical Collection Specialist is responsible for managing and pursuing ... Experience must include working with a variety of health insurance companies, Medicare/Medicaid, as ...

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Medicaid Collection Specialist information

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$19

$31

How much do medicaid collection specialist jobs pay per hour?

As of Aug 17, 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 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.

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.

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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:

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.

Home Health Billing & Collection Specialist

Salo, Inc Career Site

Dayton, OH โ€ข On-site

Full-time

Re-posted 14 days ago


Job description

Description
Position will be remote, but some in-office hours are possible.
Candidate will ideally reside in Ohio.
Looking for experience in home health billing and knowledge of DDE. S omeone who is well versed in private pay, all home health payors, has a strong medical collection background, and is able to take on new tasks easily.
As a Home Health Billing and Collections Specialist, you will p erform daily billing and collection operations for Home Health Revenue Cycle Department. The Home Health Billing and Collection Specialist ensures that the patient accounts are handled in compliance with Interim Healthcare's policy and regulatory standards.
What we offer our Home Health Billing & Collection Specialist:
Competitive pay and benefits
FT, 8:30 am - 5pm, M-F. Remote with some possible in office hours.
Daily Pay option available
Excited to hear more? Apply below.
Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day.
As a Home Health Billing and Collection Specialist, you will:
Initiate and maintain complete and accurate patient billing records along with maintaining confidentiality of Interim Healthcare patient billing records to ensure regulatory compliance with state and federal laws. Identifies and implements system enhancements, as it relates to industry trends to improve overall performance and outcomes.
Accurate cash posting and balance monies received from insurance plans by the end of each month. Track and process all over-payments/under-payments to ensure collection of balances owed/received are precise and appropriate. Always maintain proper payment of all state/federal revenues to ensure the correct rates have been paid. This is a federal regulation that must be followed.
Accurately process payments to Nursing Facilities for patients with Medicaid coordinating all admissions, deaths, bed hold days, transfers, and discharges. Bills all insurance plans for denials and/or collection of payments while maintaining timely filing of all insurance plans. Maintains a positive relationship working cooperatively with nursing homes, health information department, accounts payable department and other providers to maintain quality service, quick response time and ensure accurate payments. It is important to sustain positive relationships which are crucial to developing future referrals to the organization.
Review of monthly aging for trouble spots and past due accounts along with running month-end billing process and reconciliation improve flow of cash to organization. Monitors and maintains days in AR at or below 60-90 days to ensure cash flow. This is evidenced by a monthly review of AR with a success rate of 90%. Reporting any issues to Revenue Cycle Manager.
To qualify for a Home Health Billing and Collection Specialist with us:
โ€ข Associate degree (Bachelor's Degree preferred) in related field required or equivalent education, training, and experience.
โ€ข Minimum 3-5 years' experience in home health billing
โ€ข Recent experience working with popular home health billing software.
Knowledge of DDE is a must.
At Interim HealthCare Home Care, we know that being our best is non-negotiable - that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work.
We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.