Aspirehealthalliance
Medical Biller
Braintree, MA. Posted 4 months ago
The role
The Medicaid Biller & Follow-Up Specialist manages the full revenue cycle process. This includes claim submission, payment posting, account follow-up, and denial resolution.
What you will do
- Prepare, review, and submit accurate Medicaid claims electronically and through appropriate billing platforms.
- Verify patient eligibility, authorization requirements, and billing information prior to claim submission.
- Process payments, post insurance remittances, and reconcile accounts accurately.
- Monitor unpaid claims and perform timely follow-up with Medicaid payers.
- Research, analyze, and resolve claim denials, rejections, and billing discrepancies.
Required qualifications
- 2+ years of Medicaid billing and collections experience
- Knowledge of Medicaid claims processing, denial management, and payment posting
- Understanding of EOBs, ERAs, CPT/HCPCS codes, ICD-10 codes, and claim adjustments
- Experience using electronic billing systems and payer portals
- Strong problem-solving and analytical skills
- Excellent written and verbal communication skills
- Ability to manage multiple priorities and meet deadlines
- High level of accuracy and attention to detail
- Proficient with Microsoft Office and billing software systems
- Knowledge of healthcare revenue cycle management
Benefits
- competitive package of compensation and benefits
About the company
Aspire Health and Community Services is a compassionate, accountable community. The organization believes mental health is the foundation of a person's overall health.