We are looking for a Medical Billing Specialist to support billing operations for a Contract position based in Providence, Rhode Island. This role focuses on accurate claim processing, insurance follow-up, and account review within a healthcare setting. The ideal candidate brings hands-on medical billing experience, strong attention to detail, and the ability to work effectively with clinical teams and payer contacts.<br><br>Responsibilities:<br>• Maintain accurate patient insurance details and demographic information to support clean claim submission and reduce billing delays.<br>• Enter charges for assigned programs in a timely manner while ensuring coding and billing data are complete and correct.<br>• Communicate with insurance carriers to address claim issues, clarify coverage questions, and help resolve reimbursement concerns.<br>• Advise program leaders and clinical staff on billing expectations, documentation needs, and payer-related procedures.<br>• Track high-dollar balances and unusual account activity, then escalate trends and concerns to the Billing Manager.<br>• Review receivables aging on a routine basis to help ensure claims are submitted and worked within payer filing deadlines.<br>• Research payer policies and billing rules independently to maintain compliance and improve claim accuracy.<br>• Use Inovalon and related billing tools to manage account activity, document follow-up, and support day-to-day revenue cycle tasks.
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.<br><br>Responsibilities:<br>• Prepare, review, and submit medical claims to insurance carriers with close attention to accuracy and compliance.<br>• Apply appropriate coding and billing practices to support proper claim processing and reimbursement.<br>• Investigate denied, rejected, or underpaid claims and take corrective action to support resolution.<br>• Follow up with payers and patient accounts to address outstanding balances and collection activity.<br>• Use EPACES and related billing systems to verify claim status, eligibility, and payment details.<br>• Maintain organized billing documentation and update account records to reflect claim activity and payment outcomes.
<p>We are looking for a Office/Medical Billing Specialist to support financial operations for a healthcare setting in Massachusetts. This Contract position focuses on billing accuracy, benefit coordination, account maintenance, and responsive service for residents and families. The ideal candidate brings hands-on experience with medical billing workflows, government program eligibility processes, and account reconciliation while working effectively in a fast-paced business office environment.</p><p><br></p><p>Responsibilities:</p><p>• Oversee Medicaid application processing, periodic eligibility reviews, and continued benefit administration to help maintain uninterrupted coverage.</p><p>• Keep resident census information current by coordinating admissions, transfers, discharges, and related financial records with accuracy.</p><p>• Generate private-pay billing statements and patient liability invoices, while handling payment posting, collection efforts, and follow-up on outstanding balances.</p><p>• Submit consolidated billing claims, research discrepancies, and work through billing issues to support timely resolution.</p><p>• Prepare daily bank deposits, verify balances, reconcile deposit activity, and complete electronic submissions accurately.</p><p>• Address questions from residents and family members regarding invoices, account status, and other financial matters in a clear and attentive manner.</p><p>• Maintain resident personal needs accounts and perform regular reconciliations to ensure proper documentation and account accuracy.</p><p>• Support the Business Office Manager with month-end close activities, audit preparation, reporting tasks, and additional office initiatives as needed.</p>