Medical Billing Specialist
Job Description
Job Description
We are looking for a highly skilled Medical Billing Specialist to join our team on a long-term contract basis. This position offers the opportunity to contribute to healthcare operations by ensuring accurate billing, resolving claims, and supporting patient scheduling. Based in Richmond, Virginia, this role is integral to maintaining efficiency in Medicaid and home health billing processes.
Responsibilities:• Manage Medicaid and home health billing, including claims for Aetna, Anthem, Sentara, United, and other insurers.
• Handle denials and appeals, ensuring timely resolution to maintain billing accuracy.
• Process prior authorizations and submit claims on a bi-weekly basis.
• Collaborate with patients and staff to build monthly schedules for healthcare services.
• Clean up accounts receivable buckets by addressing outstanding balances and discrepancies.
• Utilize EHR systems such as Allscripts and Cerner Technologies to streamline billing functions.
• Monitor benefit functions and ensure compliance with healthcare regulations.
• Conduct claim administration tasks with precision and attention to detail.
• Work remotely Monday through Friday while adhering to deadlines and performance standards.
• Support home health agencies and skilled nursing facilities with billing and administrative tasks.• Proven experience in Medicaid and home health billing processes.
• Familiarity with EHR systems like Allscripts, Cerner Technologies, and Epaces.
• Proficiency in Dynamic Data Exchange (DDE) for efficient data management.
• Strong understanding of accounts receivable, including cleanup and reconciliation.
• Expertise in handling appeals, denials, and claim administration.
• Ability to manage billing functions for home health agencies and skilled nursing facilities.
• Exceptional organizational skills to build patient schedules and meet deadlines.
• Knowledge of healthcare regulations and benefit functions.
Recommended Jobs
Retail Sales Assistant
Job Description Job Description Job description Sales Assistant/Website support Highly successful luxury men's retail in the Reston Town Center store seeks part-time Retail Sales assistant …
RK Subaru Express Technician
Job Description Job Description Job Summary: The RK Subaru Express Technician at RK Auto will be responsible for performing a variety of skilled labor duties related to the maintenance and rep…
Luxury Sales Representative
Job Description Job Description Job Summary: Work in a thriving, fast-paced, luxury environment to assist clients with purchasing a new or pre-owned Lincoln vehicle. Lincoln is one of the fastes…
Pharmacy Technician 13-Week Contract to Hire Roanoke, VA
Job Description Job Description Certified Pharmacy Technician (CPhT) certification and 1+ years Pharmacy Technician experience required. Applicants who do not meet these qualifications will not b…
Entry Level Laboratory Technician
Entry Level Lab oratory Technician JOB-10044727 Anticipated Start Date September 2 , 2025 Location Chesterfield , MO Type of Employment Contract …
Front Desk Receptionist
Job Description Job Description Answer phone calls Register patients. Verify insurance. Coordinate patient flow to the treatment rooms Take payments from patients Have computer ski…
General Ledger Accountant
General Ledger Accountant Location Hybrid work in Reston, VA : Job Title: General Ledger Accountant (Accountant III) City & State Location: Reston, VA General Ledger Accountant Description/Job Su…
QMHP, Intensive In-Home
Job Description Job Description Salary: $20-$26/hour Position Summary The Qualified Mental Health Professional is responsible for providing individual skills training, mentoring, case ma…
In House Counsel Jobs New York | JDHuntr 62168 Senior Corporate Counsel, SaaS $153K - $214K, McLean, VA
In House Counsel Jobs New York | JDHuntr 62168 Senior Corporate Counsel, SaaS $153K - $214K, McLean, VA Apply on JDHuntr.com Post Date: 10.26.2023 *Have extensive knowledge and experience negotiat…