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Aspire Health and Community Services

Medicaid Biller & Follow-Up Specialist

Clinical Support & Patient AdministrationUpdated on Nov 10
Full-timeBraintree, MA, USA$26.94 /yrIn-person

About the Job

Requirements

  • At least 2 years of Medicaid billing and collections experience.
  • Knowledge of Medicaid claims processing, denial management, and payment posting.
  • Understanding of explanations of benefits (EOBs), electronic remittance advice (ERAs), CPT/HCPCS codes, ICD-10 codes, and claim adjustments.
  • Experience using electronic billing systems and payer portals.
  • Strong problem-solving and analytical skills.
  • Excellent written and verbal communication skills.
  • Ability to manage multiple priorities and meet deadlines.
  • High level of accuracy and attention to detail.
  • Proficiency with Microsoft Office and billing software systems.
  • Knowledge of healthcare revenue cycle management.

Responsibilities

  • Prepare, review, and submit accurate Medicaid claims electronically and through appropriate billing platforms.
  • Verify patient eligibility, authorization requirements, and billing information prior to claim submission.
  • Process payments, post insurance remittances, and reconcile accounts accurately.
  • Monitor unpaid claims and perform timely follow-up with Medicaid payers.
  • Research, analyze, and resolve claim denials, rejections, and billing discrepancies.

About the Company

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