Patient Billing Specialist

Job Description

Job Description

*** 12 month contract, potential for conversion with budget approval and performance***

Job Description

We are seeking a detail-oriented patient billing representative to handle patient inquiries and billing issues in a fast-paced healthcare environment. This position requires excellent communication skills and a strong understanding of billing practices and insurance processes.

Responsibilities

• Respond to a high volume of patient inquiries via phone, mail, and electronic messaging regarding billing and account-related issues.
• Research and resolve patient billing inquiries by collaborating with insurance companies, third-party payers, and other external contacts, and communicate findings to patients and guarantors.
• Collect outstanding balances and update patient demographic and insurance information during interactions.
• Verify insurance eligibility using payer websites, available technologies, and direct communication with insurance companies.
• Understand hospital and professional billing practices, including reading and interpreting Explanation of Benefits (EOBs), billing commercial and government payers, resolving claim denials, and assisting with coordination of benefits (COB).
• Address complex patient and guarantor concerns, including payer denials, coding questions, secondary billing, coordination of benefits, and verification of copays, coinsurance, and deductibles.
• Review Primary Care Provider (PCP) and self-pay exception reports to resolve outstanding issues.
• Identify recurring billing trends or issues and communicate findings to leadership, assisting with process improvement efforts.
• Maintain accurate and complete documentation in accordance with departmental procedures and hospital policies.
• Protect the confidentiality and integrity of patient information by adhering to HIPAA regulations and privacy standards.

Essential Skills

• 1+ year of experience with EPIC software.
• Experience in a multi-specialty ambulatory clinic.
• Ability to communicate effectively with insurance companies and understand the claims process.

Additional Skills & Qualifications

• High School Diploma.
• 3-5 years of relevant experience.

Work Environment

This role offers a hybrid work environment with 1 day per week onsite after the training period, which typically lasts a few weeks. The office is located in Westwood, MA, with free parking available onsite and a shuttle from the MBTA commuter rail station.

This is a Contract to Hire position based out of Westwood, MA.

The pay range for this position is $25.00 - $27.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

This is a hybrid position in Westwood,MA.

This position is anticipated to close on Aug 31, 2026.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications withoutregard to race, sex, age, color, religion, national origin, veteran status, disability,sexual orientation, gender identity, genetic information or any characteristic protectedby law.

If you would like to request a reasonable accommodation, such as the modification oradjustment of the job application process or interviewing process due to a disability,please email View email address on ziprecruiter.com for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in thecity and county of San Francisco, we will consider for employment qualified applicantswith arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as acondition of employment or continued employment. An employer who violates this lawshall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process,including sourcing, screening, and evaluating candidates. AI helps assess applicationsand qualifications, but final decisions are made by our hiring team. By applying, youacknowledge and agree that your application may be reviewed using AI tools.