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We are looking for a detail-oriented Medical Billing Specialist to support a healthcare team in Massachusetts. This contract opportunity with permanent potential is ideal for someone who is comfortable managing insurance authorizations, resolving claim denials, and working within a fast-paced healthcare setting. The person in this role will help keep billing activity accurate and timely while providing dependable administrative support tied to reimbursement processes.
Job Responsibility
Process insurance authorization requests through the MassHealth portal using appropriate billing and procedure codes
Review denied claims, investigate the cause of rejections, and take corrective action to support successful reimbursement
Handle day-to-day medical billing activities with close attention to accuracy, compliance, and timely follow-up
Maintain documentation related to authorizations, claim status updates, and billing actions in accordance with healthcare standards
Communicate with payers, internal staff, and other stakeholders to clarify billing issues and move claims toward resolution
Monitor outstanding claims and support denial management efforts to reduce delays in payment
Apply medical billing, coding, and collections knowledge to assist with clean claim submission and account follow-up
Requirements
Prior experience in medical billing within a healthcare environment
Working knowledge of insurance authorization processes and claim follow-up procedures
Experience handling denied medical claims and supporting appeals or resolution activities
Familiarity with MassHealth, ePaces, or similar payer portals used for billing and authorizations
Understanding of medical coding and healthcare billing terminology
Strong customer service and communication skills when working with patients, payers, or internal teams
Ability to manage multiple tasks accurately in a deadline-driven administrative setting