Medicaid/Medicare Billing Representative (169754)

Job description: Medicaid/Medicare Billing Representative (169754) – Harrisburg, PA 17101 | $20.75/hr Assignment Dates: May 2026 – January 2027 Schedule : Mon-Fri 8a-4p Job Type: Temp-to-perm (opportunity to extend or convert to permanent based on business needs) A-Line Staffing is now hiring a Financial Representative in Harrisburg, Pennsylvania 17101 - please contact Staffing Manager, Tiona Scroggins @ tscroggins@alinestaffing.com Position Overview: This role supports monitoring, compliance, and financial review activities within long-term care programs. The Financial Representative 2 is responsible for analyzing financial and program data, ensuring compliance with state and federal regulations, and supporting quality improvement initiatives across healthcare and human services programs. Key Responsibilities: Perform financial and compliance reviews of programs and service providers Analyze programmatic and financial data to determine effectiveness and compliance Conduct desk and on-site monitoring reviews Ensure adherence to regulatory standards, contract requirements, and performance measures Identify performance gaps and recommend corrective actions Develop and manage reports, presentations, and documentation Provide technical assistance to providers regarding billing and regulatory requirements Review accounts receivable and identify overpayments Manage recovery of overpaid claims and maintain reporting documentation Compare financial and census data for accuracy and compliance Conduct entrance and exit conferences with facility staff Respond to inquiries from stakeholders and provide regulatory guidance Maintain and update databases for reporting and analysis Participate in audits, investigations, and special projects Collaborate with internal teams and external agencies Attend hearings and support findings related to financial reviews Perform additional duties as assigned Required Qualifications: Bachelor’s degree OR a combination of education and relevant experience Working knowledge of Medicaid and Medicare billing regulations Strong analytical and problem-solving skills Ability to interpret policies, procedures, and regulatory guidelines Experience with financial reviews, audits, or compliance activities Strong written and verbal communication skills Ability to work independently and make decisions based on established guidelines Proficiency in data analysis and reporting tools Ability to manage multiple priorities and deadlines Strong attention to detail and accuracy Preferred Qualifications: Experience with healthcare accounts receivable and cost reporting Experience working with long-term care or nursing facility billing Familiarity with regulatory compliance in healthcare or human services Essential Functions: Collect, analyze, and interpret program and financial data Analyze and apply policies, procedures, and regulations Review and evaluate program performance and compliance Communicate effectively both verbally and in writing Build and maintain professional working relationships Candidate Must Know Before Applying: Role involves extensive compliance monitoring and financial analysis Requires knowledge of healthcare billing (Medicaid/Medicare) Includes both independent work and collaboration with multiple stakeholders May involve on-site reviews and audits Requires handling sensitive financial and program data Strong attention to detail and regulatory adherence is critical Involves frequent communication with providers and internal teams Must be comfortable working in a structured, policy-driven environment Participation in hearings, reporting, and corrective action planning may be required Benefits: Benefits are available to full-time employees after 90 days of employment A 401(k) with company match is available after 1 year of service INDKS Benefits: Dental insurance Health insurance Life insurance Vision insurance Experience: healthcare billing : 1 year (Required) Medicaid/Medicare billing: 1 year (Required) Work Location: In person Key Responsibilities: Perform financial and compliance reviews of programs and service providers Analyze programmatic and financial data to determine effectiveness and compliance Conduct desk and on-site monitoring reviews Ensure adherence to regulatory standards, contract requirements, and performance measures Identify performance gaps and recommend corrective actions Develop and manage reports, presentations, and documentation Provide technical assistance to providers regarding billing and regulatory requirements Review accounts receivable and identify overpayments Manage recovery of overpaid claims and maintain reporting documentation Compare financial and census data for accuracy and compliance Conduct entrance and exit conferences with facility staff Respond to inquiries from stakeholders and provide regulatory guidance Maintain and update databases for reporting and analysis Participate in audits, investigations, and special projects Collaborate with internal teams and external agencies Attend hearings and support findings related to financial reviews Perform additional duties as assigned