Responsibilities:

Examine service records, authorizations, care plans, and supporting documents to confirm claims are ready for submission to Minnesota Medical Assistance and other applicable payers.
Process and track claims for home care and related community-based services using payer portals, clearinghouses, and revenue cycle platforms.
Investigate unpaid, denied, rejected, underpaid, or recouped claims and take appropriate action to secure correct reimbursement.
Conduct account reviews for aged receivables, including outstanding balances over 30 days, and document follow-up activity in assigned tracking tools.
Analyze remittance information to identify payment variances, denials, adjustments, spend-down impacts, and reimbursement discrepancies.
Resolve billing exceptions by correcting claim details and submitting original, replacement, corrected, or voided claims in line with payer rules.
Review unbilled service lines regularly to ensure eligible charges are captured and submitted without unnecessary delay.
Respond to billing-related questions from internal teams and external partners, including payers, case managers, coordinators, and other stakeholders.
Maintain compliance with state and federal billing standards, documentation expectations, coding requirements, confidentiality obligations, and fraud prevention guidelines.
Escalate high-risk account concerns, authorization mismatches, documentation deficiencies, database inaccuracies, and payer-related barriers to leadership when needed. Requirements
Experience in medical billing, claims processing, or healthcare revenue cycle operations.
Working knowledge of insurance billing practices, remittance review, and denial resolution.
Ability to manage billing activity across multiple payer types, including government-funded and managed care programs.
Familiarity with computerized billing systems, clearinghouses, and online payer portals.
Strong attention to detail with the ability to verify documentation, authorizations, and coding accuracy.
Effective written and verbal communication skills for handling billing inquiries and coordinating with internal and external contacts.
Ability to organize workload, prioritize follow-up tasks, and meet productivity goals in a deadline-driven environment.
Understanding of confidentiality standards and compliance expectations within a healthcare setting.

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. 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