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Are you an experienced Medical Collector with in-depth knowledge of Medicaid and Medicare reimbursements specific to Massachusetts? Our company is seeking a detail-oriented professional with strong hospital revenue cycle experience to join our team and help drive collections success.
Job Responsibility:
Perform collections for Medicaid and Medicare accounts in accordance with Massachusetts regulations and payer requirements
Work closely with hospital revenue cycle teams to resolve outstanding A/R and minimize denials
Analyze patient accounts, secure accurate and timely reimbursements, and escalate complex cases as needed
Review EOBs, payments, and remittance advices to ensure correct posting and balance resolution
Communicate effectively with payers, internal departments, and patients to resolve issues
Maintain detailed and accurate notes in billing systems, adhering to compliance and privacy regulations
Requirements:
Minimum of 2 years’ direct experience in medical collections with a focus on Medicaid and Medicare claims in the state of Massachusetts
Previous experience working within a hospital revenue cycle or business office environment is required
Solid understanding of government payer guidelines, appeals, and denial management
Proficient in using EMR/EHR and patient billing systems (e.g., Epic, Meditech, or similar platforms)
Strong verbal and written communication skills
attention to detail and accuracy are critical
Ability to organize, prioritize, and manage multiple accounts effectively
Nice to have:
Experience with revenue cycle management software
Knowledge of Massachusetts-specific Medicaid (MassHealth) policies
Related micro credentials or certifications in health data management or medical billing are a plus
What we offer:
medical, vision, dental, and life and disability insurance