Medicaid Eligibility & Writeoff Specialist
Resume:
TASHA HUGHES
MEDICAID ELIGIBILITY AND WRITEOFF SPECIALIST
470-***-**** ***************@*****.*** Stockbridge, GA 30273
PROFESSIONAL SUMMARY
Results-driven Medicaid Eligibility and Writeoff Specialist with 18+ years of experience in medical collections, account resolution, and healthcare revenue cycle management. Expertise in reconciling patient accounts, applying contractual allowances, and resolving complex billing disputes while maintaining full HIPAA and regulatory compliance. Consistently reduces outstanding AR, improves collection rates, and strengthens payer/patient relationships. Proficient in Epic, Gammis, Inovalon, MediTech, and Microsoft Office.
EXPERIENCE
Medicaid Underpayment Analyst (Seasonal)
Revecore Jan 2026 – Oct 2026
●Analyzed Medicaid claims and remittances to identify underpayments against expected reimbursement
●Compared payments to contracted and state fee schedule rates to validate correct payment
●Documented variances and prepared accounts for follow-up and recovery
●Maintained accuracy and HIPAA compliance across high-volume seasonal workloads
Medicaid Billing Specialist
Altum Healthcare Jan 2021 – July 2026
●Resolved client inquiries on Medicaid benefits and eligibility, ensuring accurate and timely account status updates
●Applied Medicaid contractual allowances and write-offs to prevent balance billing and maintain compliance
●Reduced outstanding AR through precise adjustment processing and proactive claim follow-up
●Processed Medicaid billing and adjustments in full alignment with state and federal regulations
●Audited Explanation of Benefits (EOBs) to verify accurate reimbursement and correct patient responsibility
Medicaid Billing Specialist
Robert Half Jan 2017 – Jan 2021
●Maintained comprehensive records of Medicaid payments for audit-ready accuracy
●Conducted quality assurance reviews on claims prior to Medicaid submission, minimizing rejections
●Ensured 100% on-time submission of required documentation for all filed claims
●Identified and corrected billing data errors to improve first-pass claim accuracy
●Reconciled Medicaid and Medicare remittances against supporting documentation
●Verified insurance coverage and submitted claims accordingly, accelerating reimbursement timelines
Medical Records Specialist / Record Retrieval Specialist
Record Retrieval Solutions (RRS) Jan 2013 – Jan 2016
●Processed 50–75 medical record requests daily while maintaining 100% HIPAA compliance
●Built and maintained tracking systems enabling rapid retrieval and client reporting
EDUCATION
Associate in Medical Administration
Georgia Medical Institute Jan 2015
Certificate in Health Information
E Morganfield Jan 2005
SKILLS
Systems: Epic, Gammis, Inovalon, MediTech
Billing: Patient Billing, Payment Posting, Payment Arrangements, Account Reconciliation
Claims: Insurance Verification, Claim Resolution, Denial Management, Appeals
Compliance: HIPAA, Confidentiality
Client Relations: Customer Service, Patient Relations, Account Resolution
Contact this candidate