San Diego, CA, 92108, USA
3 days ago
Sr. Medical Billing Specialist
Description 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. 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 (https://www.roberthalf.com/us/en/mobile-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 (https://www.roberthalf.com/us/en/terms) .
Confirmar seu email: Enviar Email