Medical Billing Specialist

Job Description

Job Description

We are looking for a detail-oriented Medical Billing Specialist to support healthcare billing operations in Warwick, Rhode Island. This Contract position is ideal for someone who can manage claims activity, follow billing guidelines, and work accurately in a fast-paced setting. The role will focus on maintaining clean billing records, resolving reimbursement issues, and helping ensure timely payment processing.

Responsibilities:
• Prepare, review, and submit medical claims to insurance carriers with close attention to accuracy and compliance.
• Apply appropriate coding and billing practices to support proper claim processing and reimbursement.
• Investigate denied, rejected, or underpaid claims and take corrective action to support resolution.
• Follow up with payers and patient accounts to address outstanding balances and collection activity.
• Use EPACES and related billing systems to verify claim status, eligibility, and payment details.
• Maintain organized billing documentation and update account records to reflect claim activity and payment outcomes.• Hands-on experience in medical billing within a healthcare, clinic, or related revenue cycle environment.
• Working knowledge of medical coding principles and insurance claim submission processes.
• Experience handling claim follow-up, denial resolution, and medical collections.
• Familiarity with EPACES or comparable healthcare billing and eligibility platforms.
• Strong attention to detail with the ability to manage high-volume work accurately.
• Clear communication skills and the ability to interact professionally with payers, patients, and internal teams.