Medical Billing Specialist

Job Description

Job Description

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.

Responsibilities:
• 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.• 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.