Job Description Insight Global Health is seeking 2 Hybrid Maryland Medicaid Billing / Claims Resolution / Follow-Up Specialists (Government Billing Specialist) in Maryland who will manage the full lifecycle of Maryland Medicaid claims for Long-Term Care (LTC) and acute care facilities within the newly established specialty unit. This role involves processing and submitting facility claims, accurately managing the LTC Medicaid 257 form/process and Cognito system workflows, identifying and correcting claim rejections, errors, and denials, and ensuring clean claim submission to support timely reimbursement. The specialist will conduct proactive follow-up on unpaid or underpaid claims, prepare and submit dispute emails or correspondence to Maryland Medicaid when necessary, handle appeals and in-depth resolution efforts, and actively contribute to reducing the backlog of Medicaid secondary claims and overall aging accounts receivable. Daily responsibilities include researching claim status, achieving productivity targets of approximately 40–75 claims per day (depending on inpatient or outpatient focus), upholding high standards of accuracy and compliance with Maryland Medicaid regulations, and collaborating with the dedicated Medicaid team. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements Hands-on experience with facility billing and follow-up Demonstrated knowledge of Long-Term Care (LTC) Medicaid billing processes, preferably Maryland-specific Familiarity with the Maryland LTC Medicaid 257 form/process and Cognito system Strong understanding of claim rejections, errors, denials, and appeals management Proven ability to work detailed, resolution-heavy Medicaid claims requiring research and follow-through Proficiency using electronic medical record / billing systems for claims processing Cerner Millennium Experience