Medical Billing Specialist, Robert Half

Robert Half

Location:
United States, Worcester

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Not provided

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Job Description:

We are looking for a detail-oriented Medical Billing Specialist to join our team in Worcester, Massachusetts. This contract position offers an opportunity to leverage your expertise in medical billing and claims processing to ensure accurate and timely submission of claims while adhering to industry standards and payer guidelines. The ideal candidate will thrive in a fast-paced environment and demonstrate strong problem-solving skills when addressing billing discrepancies and denials.

Job Responsibility:

Submit claims to third-party intermediaries for government and commercial payers with accuracy
Investigate and resolve payer edits, clearinghouse rejections, and formatting issues to ensure successful claim submissions
Utilize ICD-10 coding knowledge to meet payer-specific requirements and ensure compliance with billing guidelines
Review system-generated reports and payer feedback to correct claim errors promptly
Conduct follow-up activities on outstanding accounts, including appeals and documentation requests
Analyze underpayments and denials, coordinating with payers to resolve issues effectively
Monitor recurring trends in denials or rejections and provide insights to leadership for process improvements
Maintain thorough and accurate documentation in the billing system to support claim processing
Collaborate with internal departments, such as coding, credentialing, and compliance, to address complex billing challenges
Support month-end close processes by prioritizing claims that are high-value or time-sensitive

Requirements:

Proficiency in medical billing systems such as Allscripts, Cerner, and Epaces
Hands-on experience with Dynamic Data Exchange (DDE) and electronic health record (EHR) systems
Strong understanding of accounts receivable (AR) workflows and appeals processes
Familiarity with Medicare, Medicaid, and commercial payer billing guidelines
Ability to navigate claim administration and benefit functions effectively
Exceptional problem-solving skills to address billing discrepancies and denials
Up-to-date knowledge of industry regulations, payer rules, and coding standards
Excellent organizational skills and attention to detail to ensure accurate documentation and compliance

What we offer:

Medical insurance
Vision insurance
Dental insurance
Life and disability insurance
Eligibility to enroll in company 401(k) plan

Additional Information:

Job Posted:
June 27, 2025

Employment Type:

Fulltime

Work Type:

On-site work

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Medical Billing Specialist