Accounts Receivable (AR) Specialist - Medicaid (Hybrid, Guadalajara)

We are seeking a detail-oriented Accounts Receivable (AR) Specialist with hands-on experience handling Medicaid billing and collections. This role is responsible for managing outstanding receivables, resolving claim denials, ensuring accurate reimbursement, and maintaining compliance with Medicaid regulations. The ideal candidate has strong analytical skills, understands payer guidelines, and can proactively follow up on aging accounts.

Key Responsibilities

• Manage and monitor accounts receivable aging reports

• Submit, track, and reconcile Medicaid claims

• Follow up on unpaid, denied, or partially paid claims

• Investigate and resolve billing discrepancies

• Communicate with Medicaid representatives regarding claim status and appeals

• Prepare and submit appeals with appropriate supporting documentation

• Ensure compliance with federal and state Medicaid billing regulations

• Post payments, adjustments, and contractual allowances accurately

• Maintain accurate documentation in the billing system

• Collaborate with internal teams (billing, operations, finance) to resolve issues

Requirements:
• 2+ years of experience in Accounts Receivable in healthcare

• Proven experience working with Medicaid claims and collections

• Strong knowledge of Medicaid billing rules and reimbursement processes

• Experience with EHR or medical billing systems

• Understanding of denial management and appeals process

• Strong attention to detail and organizational skills

• Intermediate Excel skills (aging reports, basic formulas, reconciliation)

• English proficiency (if required for client communication)

Preferred Qualifications

• Experience with Medicare and commercial payers

• Familiarity with US healthcare compliance standards (HIPAA)

• Experience working in a nearshore or multi-state Medicaid environment

Key Competencies

• Analytical thinking

• Persistence in collections follow-up

• Problem-solving

• Strong written and verbal communication

• Time management and prioritization

Benefits:
• 🎄 Christmas Bonus: 30 days, to be paid in December.
• 🩺 Major Medical Expense Insurance: Coverage up to $20,000,000.00 MXN.
• 🩹 Minor Medical Insurance: VRIM membership with special discounts on doctor’s appointments and accident reimbursements.
• 😁 Dental Insurance: Always smile with confidence!
• 💼 Life Insurance
• 🌴 Vacation Days: 12 vacation days.
• + 📅 Floating Holidays: 3
• 📱 Cell Phone Reimbursement & Transportation Subsidy.
• 🌐 Hybrid Scheme: Enjoy the best of both worlds, remote and in-office work.
• 🌍 Multicultural Exposure: Work with operations within Mexico and the United States.
• 🎉 MezTal Internal Events: Strike a healthy balance between your professional and personal goals.
• 💸 Exclusive Discounts: Benefits with different companies for being part of MezTal.
• 📚 Academic Agreements: Access to national universities and language schools.
• 🚀 Career Growth: We will search for the best conditions for progres