We are looking for an experienced Medical Billing Specialist to join a healthcare organization in Mashpee, Massachusetts. This Long-term Contract opportunity is ideal for someone who thrives in a busy clinical billing environment and brings strong knowledge of reimbursement processes, payer requirements, and claim resolution. The person in this role will help support accurate billing operations, improve account follow-up, and work closely with internal teams to secure timely payment. Candidates with prior experience in hospital or broader healthcare system settings will be especially well suited for this position.
Responsibilities:
- Prepare, review, and submit medical claims with close attention to accuracy, completeness, and payer-specific billing rules.
- Investigate unpaid, delayed, or rejected accounts and take appropriate action to secure timely reimbursement.
- Manage denial follow-up by identifying root causes, correcting claim issues, and coordinating resubmissions when needed.
- Resolve billing discrepancies by partnering with coding, revenue cycle, and patient access teams to clarify account details.
- Process Medicare, Medicaid, and commercial payer billing in alignment with regulatory standards and internal compliance expectations.
- Use Epic and related billing tools, including ePaces when applicable, to maintain account documentation and support claim activity.
- Monitor account status and collections activity to help reduce outstanding balances and improve payment turnaround times.
- Maintain clear records of claim actions, payer communications, and account updates to support audit readiness and reporting.