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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.
Job Responsibility:
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
Requirements:
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
What we offer:
medical, vision, dental, and life and disability insurance
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