Arkansas Staffing
Senior Medical Billing Specialist
Are you an experienced medical billing professional with specialized expertise in Medicaid and Medicare regulations? Do you thrive in fast-paced environments where your attention to detail and compliance knowledge can make a significant impact? Robert Half is seeking a Senior Medical Billing Specialist for a healthcare organization in San Diego, CA. If you're ready to leverage your skills and grow in your career, we invite you to apply today!
Key Responsibilities
- Manage and oversee the full cycle of medical billing processes, ensuring timely and accurate submission of claims for Medicare and Medicaid programs.
- Review claims and documentation to ensure compliance with federal, state, and payer-specific regulations.
- Analyze denials and discrepancies, following up aggressively to resolve issues and maximize reimbursements.
- Oversee payment posting and reconciliation, ensuring accounts receivable balances are accurate and up-to-date.
- Monitor patient accounts and work with patients to resolve billing inquiries in a professional and empathetic manner.
- Provide coaching and mentorship to junior medical billing staff, ensuring team success and adherence to quality standards.
- Collaborate with clinical, coding, and administrative teams to ensure completeness and accuracy of medical documentation.
- Prepare billing activity reports and provide insights to management to support financial planning and decision-making.
Requirements
- Associate's degree in Healthcare Administration, Accounting, or a related field preferred, or equivalent medical billing experience.
- Minimum 5-7 years of medical billing experience, with at least 3 years of direct billing exposure to Medicaid and Medicare programs.
- Experience with medical billing software (e.g., EPIC, Cerner, Athenahealth) and strong proficiency in Microsoft Excel for reporting purposes.
- Deep understanding of Medicaid and Medicare regulations, including billing guidelines, compliance, and reimbursement methodologies.
- Exceptional organizational, analytical, and accuracy skills in reviewing claims and resolving discrepancies.
- Strong verbal and written communication abilities to interact with patients, insurance providers, and internal teams.
- CPC or CPB certification is a plus but not required.