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We are looking for a detail-oriented Medical Billing Specialist to support revenue cycle operations for a healthcare organization in Lewiston, Maine. This is a Contract position focused on accurate claim preparation, timely follow-up, and consistent reimbursement processing. The ideal candidate brings strong knowledge of medical billing workflows, coding practices, and payer communication, along with the ability to manage accounts efficiently in a fast-paced setting.
Job Responsibility
Prepare and submit medical claims with a high degree of accuracy to support timely payment from insurance carriers and other payers
Review billing documentation and coding details to identify discrepancies, correct issues, and reduce claim rejections or denials
Follow up on outstanding balances by working directly with payers, patients, and internal teams to resolve billing questions and secure reimbursement
Investigate denied or delayed claims, determine the cause, and take appropriate action to support successful resubmission or appeal
Maintain organized account records and update billing systems with current claim status, payment activity, and collection notes
Use EPACES and related billing tools to verify information, review claim activity, and assist with claims processing tasks
Monitor accounts receivable activity and prioritize follow-up efforts to improve collection performance and payment turnaround times
Requirements
Previous experience in medical billing within a healthcare, clinic, hospital, or physician practice environment
Working knowledge of medical coding principles and their impact on clean claim submission and reimbursement accuracy
Experience handling medical claims, payment posting follow-up, and collections related to outstanding patient or payer balances
Familiarity with EPACES and comfort navigating billing platforms and payer portals
Ability to identify billing errors, research account issues, and resolve problems with strong attention to detail
Effective written and verbal communication skills for interacting with payers, patients, and internal stakeholders
Strong organizational skills with the ability to manage multiple accounts and deadlines in a Contract assignment