Revenue Specialist (Medicaid)

Location: Remote within the United States; listed location is Franklin, Tennessee.

Company

hirify.global provides specialty revenue cycle management solutions and intelligent automation for healthcare organizations, including hospitals, health systems, and ambulatory surgery centers.

What you will do

• Verify patient eligibility and analyze Medicaid claim payments against applicable state fee schedules.
• Research, request, and submit medical records and supporting documentation for accurate claim reimbursement.
• Review and correct UB-04 billing components and prepare initial Medicaid bill packets.
• Follow up with payers by phone, verify authorizations, and support concurrent review activities.
• Analyze delinquent accounts, resolve payment issues, and appeal claim denials or underpayments.
• Handle confidential patient health information, manage inbound and outbound calls, and collaborate with the department to meet productivity goals.

Requirements

• High school diploma or GED required; an associate or bachelor’s degree is preferred.
• 1–2+ years of healthcare billing or collections experience and 1+ year of client-facing or customer service experience.
• 1+ year of experience with UB-04 billing and collections is required; knowledge of CMS-1500 billing is a plus.
• Intermediate understanding of insurance payer and provider claims processing; Medicaid knowledge is preferred.
• Strong computer proficiency, including Microsoft Word, Excel, and Outlook, with effective written and verbal communication skills.
• Must be able to work remotely within the United States and maintain regular, predictable attendance.

Nice to have

• Associate or bachelor’s degree.
• Experience with CMS-1500 billing and other complex claims.
• Intermediate-level knowledge of Medicaid payers.

Culture & Benefits

• Remote work environment with a focus on flexibility and work-life balance.
• Professional growth and development supported through tools, resources, and ongoing investment in employees.
• Collaborative culture centered on shared goals, customer service, and employee development.
• Equal opportunity workplace committed to maintaining an environment free from discrimination and harassment.