Medical Billing Manager, Robert Half

Robert Half

Location:
United States, Richmond

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Not provided

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Job 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.

Job Responsibility:

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

What we offer:

medical, vision, dental, and life and disability insurance
eligibility to enroll in company 401(k) plan

Additional Information:

Job Posted:
June 07, 2025

Employment Type:

Fulltime

Work Type:

On-site work

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Medical Billing Manager