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.

Medical Biller at Aspirehealthalliance | JobZoey