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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.

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Find & Apply For Billing Clerk / Specialist Jobs in Mashpee, Massachusetts

Medical Billing Specialist