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Description We are looking for a highly skilled Medical Billing Manager to oversee Medicaid and private sector billing operations for a healthcare organization based in Richmond, Virginia. This long-term contract position requires a proactive individual with expertise in claims management, troubleshooting, and the ability to optimize billing processes. The ideal candidate will bring strong analytical skills, patience, and technical proficiency to ensure smooth and efficient billing practices.

Responsibilities:

• Manage Medicaid and private sector billing processes, including submitting claims and resolving discrepancies.

• Investigate and address denials, missing authorizations, and other billing issues through critical thinking and problem-solving.

• Ensure accurate patient scheduling for monthly billing cycles and maintain organized billing schedules.

• Clean up accounts receivable (AR) buckets to improve financial accuracy and efficiency.

• Monitor and refine billing workflows to address operational challenges and maintain compliance with healthcare regulations.

• Utilize technical systems such as EHR platforms and billing software to streamline processes and maintain accurate records.

• Collaborate with the team to address inefficiencies and ensure timely billing submissions twice a week.

• Perform audits to ensure billing accuracy and compliance with Medicaid and private insurance policies.

• Analyze trends in billing performance to identify areas for improvement.

• Provide guidance and training to team members to enhance billing operations and knowledge. Requirements • Proven experience in Medicaid and Medicare billing, with a focus on home health services.

• Strong critical thinking and problem-solving skills to address billing challenges.

• Proficiency in using technical systems such as EHR platforms, CRM, and billing software.

• Familiarity with accounts receivable (AR) processes, appeals, and claim administration.

• Ability to perform audits and ensure compliance with healthcare billing standards.

• Experience with patient scheduling and monthly billing cycles.

• Knowledge of private insurance providers such as Aetna, Anthem, Sentara, UnitedHealthcare, and Medicaid.

• Excellent organizational and communication skills to manage billing operations effectively.

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.

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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.

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