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Description We are looking for a skilled Medical Billing Specialist to join our team on a long-term contract basis in Richmond, Virginia. This role is ideal for a detail-oriented individual with expertise in Medicaid home health billing and a proven ability to manage claim administration and accounts receivable processes. You will play a vital part in ensuring the efficiency of billing operations within the healthcare industry.

Responsibilities:

• Process Medicaid home health billing for various providers, including Aetna, Anthem, Sentara, United, and Medicaid plans from Delaware and Pennsylvania.

• Manage claim denials by identifying issues and implementing appropriate resolutions.

• Obtain prior authorizations to ensure timely and accurate billing.

• Generate and submit billing statements twice a week, while coordinating patient schedules on a monthly basis.

• Address and resolve outstanding accounts receivable (AR) balances to maintain clean financial records.

• Utilize EHR systems, including Allscripts and Cerner Technologies, to streamline billing operations.

• Handle appeals and benefit-related functions to ensure claims are processed accurately.

• Maintain compliance with healthcare billing regulations and organizational policies.

• Collaborate with team members to optimize billing workflows and enhance overall efficiency.

• Provide accurate documentation and reporting to support financial accountability. Requirements • Proven experience in Medicaid home health billing, including working with Aetna, Anthem, Sentara, and other providers.

• Proficiency in using EHR systems such as Allscripts and Cerner Technologies.

• Strong knowledge of Dynamic Data Exchange (DDE) and Epaces.

• Expertise in accounts receivable (AR) management and claim administration.

• Demonstrated ability to handle denials, appeals, and prior authorizations effectively.

• Familiarity with billing and benefit-related functions within the healthcare industry.

• Excellent organizational and communication skills to manage patient schedules and billing processes.

• High attention to detail and a commitment to maintaining compliance with billing standards.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

• 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .