We are looking for an experienced Billing Clerk to join our team on a long-term contract basis in Taunton, Massachusetts. In this role, you will play a vital part in managing medical billing processes, ensuring accuracy in claims reconciliation, and maintaining strong communication with insurance representatives. The ideal candidate will have a background in healthcare billing, preferably with experience in behavioral health.<br><br>Responsibilities:<br>• Perform claims reconciliation for Mass Medicaid, including addressing approvals or denials and resolving any discrepancies.<br>• Conduct research to identify and resolve issues related to billing and insurance claims.<br>• Manage medical billing processes, ensuring timely and accurate submission of claims.<br>• Maintain patient insurance and demographic records, ensuring all information is up-to-date and accurate.<br>• Collaborate with insurance representatives to address claim-related issues and improve communication.<br>• Provide guidance to program directors and clinicians regarding billing procedures and specifications.<br>• Generate and review aging reports to monitor claims and ensure compliance with payer filing deadlines.<br>• Analyze high balance accounts and report any account activity concerns to the Billing Manager.<br>• Stay informed about payer specifications and independently research requirements.<br>• Utilize clearinghouse systems, such as Inovalon, for efficient claim processing.

• Proven experience in medical billing, with a preference for candidates familiar with behavioral health.<br>• Strong understanding of healthcare billing practices and insurance claim processes.<br>• Proficiency in using computerized billing systems and clearinghouse platforms.<br>• Ability to perform detailed claims reconciliations and resolve issues independently.<br>• Knowledge of payer specifications and timely filing requirements for claims.<br>• Excellent organizational skills and attention to detail for maintaining accurate records.<br>• Effective communication skills to liaise with insurance representatives and internal teams.<br>• Familiarity with clearinghouse systems like Inovalon is highly desirable.

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