Medicaid Revenue Cycle Specialist - Billing & Denials

Arrow-Child-; Spring (TX); On-site; USD 45,000 - 50,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

HSA match

Parental leave

Retirement plan

Paid time off

Mileage reimbursement

Tuition reimbursement

Learning and development

Job summary

Arrow-Child- is seeking a Revenue Cycle Specialist to oversee Medicaid policies, billing, and collections across services, ensuring compliant coding and timely submissions. You will analyze denials, report trends, and collaborate with internal teams to improve revenue outcomes.

Ideal candidates have a bachelor’s in a related field and at least five years in revenue cycle operations, including billing, coding, and denial management, with strong knowledge of HIPAA.

Qualifications

• Bachelor's degree in human services, business, finance, statistics, or related field; master's preferred.
• Minimum five years of revenue cycle experience in healthcare including billing, coding, reimbursement, data analysis and risk management.
• Experience with Medicaid policies and denial management is a plus.

Responsibilities

• Confirm patient insurance eligibility and submit claims to third-party payers.
• Communicate with internal stakeholders to address billing questions.
• Review and submit claims accurately, ensuring payer compliance.
• Track unpaid claims and resolve denials with payers within deadlines.
• Prepare and submit appeal letters with required documentation.
• Monitor aging reports and minimize payment delays.
• Stay updated on regulations, payer policies, and coding changes, HIPAA.
• Ensure compliance with state and federal regulations and Arrow policies.
• May drive company vehicle; travel may be required.

Skills

Billing & coding

CPT/ICD-10 coding

Denials management

HIPAA compliance

Stakeholder communication

Education

Bachelor's degree in human services, business, finance, statistics, or related field

Master's degree preferred

Job description

Arrow-Child- is seeking a Revenue Cycle Specialist to oversee Medicaid policies, billing, and collections across services, ensuring compliant coding and timely submissions. You will analyze denials, report trends, and collaborate with internal teams to improve revenue outcomes.

Ideal candidates have a bachelor’s in a related field and at least five years in revenue cycle operations, including billing, coding, and denial management, with strong knowledge of HIPAA.