We are looking for a detail-oriented Medical Billing Specialist to support a healthcare-focused team in Worcester, Massachusetts. This Contract position is ideal for someone who can manage billing activity accurately, communicate effectively with insurance carriers, and help keep reimbursement workflows moving efficiently. The person in this role will contribute to day-to-day revenue cycle operations while assisting with additional billing-related projects as needed.
Responsibilities:
• Prepare and submit medical invoices and claims with close attention to accuracy, timeliness, and payer guidelines.
• Communicate with insurance providers to verify claim status, resolve billing questions, and support timely payment processing.
• Review billing documentation and coding details to help ensure claims are complete and aligned with established requirements.
• Follow up on unpaid or underpaid accounts and assist with collection efforts to improve reimbursement outcomes.
• Use electronic billing tools, including EPACES, to enter, track, and update claim information.
• Investigate claim discrepancies, identify issues affecting payment, and take appropriate steps toward resolution.
• Maintain organized billing records and support reporting or other special projects related to revenue cycle activities.• Experience working in medical billing within a healthcare, physician practice, or related setting.
• Knowledge of medical coding principles and their impact on accurate claims submission.
• Background handling medical claims, including follow-up and payment issue resolution.
• Familiarity with medical collections and account follow-up procedures.
• Working experience with EPACES or a similar electronic claims platform.
• Strong attention to detail and ability to manage billing tasks with a high level of accuracy.
• Effective communication skills for interacting with insurance representatives and internal stakeholders.