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Rev Cycle Billing Specialist – Medicaid Authorization, Excel Data Entry
Carle Health. Manage accounts receivable according to compliance, regulatory, billing, and payer guidelines .
Posted 9/25/2026full-timeRemote • Illinois • United StatesMid-LevelSenior💰 $17 - $27 per hourWebsite
About the role
Key responsibilities & impact- Manage accounts receivable according to compliance, regulatory, billing, and payer guidelines
- Validate insurance coverage and resolve charge review edits, claim edits, clearinghouse rejections, and payer rejections
- Verify billing requirements, confirm work orders, obtain authorizations, process self-pay payments, submit claims, and resolve billing errors
- Create and upload statement files and resolve incorrect address rejections
- Prepare accounts for bad debt and collection agency referral
- Set up and review Carle Financial Assistance and Community Care Financial Assistance Program accounts and adjustment requests
- Follow up on outstanding receivables through phone, web portals, websites, and mail
- Resolve underpayments, no payments, overpayments, and undistributed payments
- Prepare payer reports and forms
- Establish payment arrangements and apply self-pay payments
- Review, process, and confirm work orders and payer authorizations
- Review Prompt Pay Discount adjustments
Requirements
What you’ll need- Associate's Degree
- Experience with Medicaid authorization
- Experience with Excel data entry/spreadsheets
- Knowledge of compliance, regulatory, billing guidelines, and payer rules
- Ability to validate insurance coverage and resolve billing, claim, clearinghouse, and payer rejections
- Ability to obtain prior authorizations and process payments
- Ability to submit claims and resolve billing errors
- Ability to handle accounts receivable, bad debt, financial assistance, and payment arrangements
- Ability to communicate with patients, insurance companies, public agencies, internal departments, and third-party payers
Benefits
Comp & perks- Comprehensive benefits package
- Equal Opportunity Employer
- Potential for growth and life-long careers