Job Description

Description Are you an experienced medical billing professional looking to grow your career in a senior-level role? Our client is seeking a Senior Medical Billing Specialist with extensive knowledge of Medicaid and Medicare billing processes to join their team. This position offers a unique opportunity to leverage your expertise in a dynamic, fast-paced healthcare environment. Our client is a trusted leader in the healthcare industry, providing top-tier services to patients while maintaining the highest levels of accuracy and compliance in their billing operations. This organization places a strong emphasis on teamwork, innovation, and patient satisfaction, making it an excellent place to advance your career in medical billing. Key Responsibilities: + Claims Submission: Prepare, review, and submit Medicaid and Medicare claims with close attention to insurance guidelines and compliance requirements. + Account Reconciliation: Analyze billing data, reconcile accounts, and resolve discrepancies in Medicaid/Medicare claims and payments. + Compliance Management: Ensure adherence to all applicable federal and state regulations governing Medicaid and Medicare claims. + Denial Management: Proactively address and resolve claim denials or discrepancies to secure timely reimbursements. + Staff Mentorship: Provide guidance and training to junior team members, supporting professional development and adherence to billing best practices. + Reporting and Audits: Prepare detailed billing reports and assist with internal and external audits related to Medicaid and Medicare processes. + Process Optimization: Identify opportunities for improving billing workflows and compliance procedures. Requirements + Education: High school diploma required; Associate's degree or higher in a relevant field (Business, Accounting, or Healthcare Management) strongly preferred. + Experience: 5+ years of medical billing experience, with specific expertise in Medicaid and Medicare claims and regulations. + Software Proficiency: Strong experience with medical billing software (e.g., Kareo, Epic, Cerner), as well as proficiency in Excel and database tools. + Knowledge: In-depth understanding of CPT/ICD coding, healthcare compliance standards, and Medicaid/Medicare guidelines and policies. + Skills: Exceptional organizational, analytical, and problem-solving skills with attention to detail. + Communication: Outstanding communication abilities to effectively collaborate with patients, healthcare providers, and insurance companies. TalentMatch® 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 ( 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 ( .

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Permanent employment, Contract work, Temporary work,

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