We are looking for a detail-oriented Billing Clerk to join our team in Taunton, Massachusetts. This long-term contract position requires someone with experience in medical billing, particularly in behavioral health and healthcare settings. The ideal candidate will possess strong organizational skills and the ability to work independently while handling claims and insurance-related tasks efficiently.<br><br>Responsibilities:<br>• Perform claims reconciliation for Mass Medicaid, including researching issues and addressing approvals or denials.<br>• Manage medical billing processes accurately and in compliance with healthcare standards.<br>• Ensure patient insurance and demographic records are updated and maintained correctly.<br>• Process charge entries for assigned programs promptly and with precision.<br>• Build and maintain effective communication with insurance representatives to resolve billing issues.<br>• Provide guidance to program directors and clinicians regarding billing procedures and requirements.<br>• Monitor high balance accounts and report problematic account activities to the Billing Manager.<br>• Review aging reports regularly to ensure claims are submitted within the payer’s timely filing limits.<br>• Conduct independent research to stay informed about payer specifications and healthcare billing requirements.<br>• Utilize clearing house platforms, such as Inovalon, to streamline billing processes.
