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Carle Health

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