Medical Billing Specialist

Job Description

Job Description

We are looking for a Medical Billing Specialist to join a healthcare team in Braintree, Massachusetts in a contract-to-permanent capacity. This position focuses on coordinating insurance authorizations, working within the MassHealth portal, and supporting the full medical billing cycle with close attention to claim accuracy and follow-up. The ideal candidate brings prior experience in healthcare administration, strong customer service skills, and the ability to resolve billing issues efficiently in a fast-paced environment.

Responsibilities:
• Submit and track insurance authorization requests through the MassHealth portal using appropriate billing and procedure codes
• Review incoming claims for issues, investigate denials, and take corrective action to support timely reimbursement
• Maintain accurate billing records and ensure documentation aligns with payer requirements and internal standards
• Communicate with patients, payers, and internal staff to clarify authorization, billing, and claim-related questions
• Monitor outstanding claims and follow up on unpaid or underpaid balances to improve collections performance
• Apply medical billing knowledge to identify coding or processing discrepancies and escalate complex issues when needed• Previous experience in medical billing, healthcare billing, or healthcare administration
• Familiarity with insurance authorization processes and claim submission workflows
• Working knowledge of claim denial review, appeals, and resolution practices
• Experience using payer portals such as MassHealth or similar systems
• Understanding of medical coding and claims terminology
• Strong customer service, communication, and organizational skills
• Ability to manage multiple priorities accurately in a deadline-driven environment