Medical Biller

Aspire Health and Community Services•Braintree, MA

About The Position

Aspire Health and Community Services is seeking a detail-oriented and experienced Medicaid Biller & Follow-Up Specialist to manage the full revenue cycle process, including claim submission, payment posting, account follow-up, and denial resolution. The role is responsible for accurate billing, timely reimbursement, and strong accounts receivable performance while adhering to Medicaid regulations and payer requirements. The ideal candidate has strong knowledge of Medicaid billing processes, close attention to detail, and the ability to investigate and resolve claim issues efficiently. Aspire describes its organizational culture as a compassionate, accountable community and is committed to diversity, equity, and inclusion. Compensation is based on experience, qualifications, certifications, and licenses. The stated annual salary range is $26.94–$26.94 USD, based on a full-time, 40-hour workweek.

Requirements

At least 2 years of Medicaid billing and collections experience.
Knowledge of Medicaid claims processing, denial management, and payment posting.
Understanding of EOBs, ERAs, CPT/HCPCS codes, ICD-10 codes, and claim adjustments.
Experience using electronic billing systems and payer portals.
Strong problem-solving and analytical skills.
Excellent written and verbal communication skills.
Ability to manage multiple priorities and meet deadlines.
High level of accuracy and attention to detail.
Proficiency with Microsoft Office and billing software systems.
Knowledge of healthcare revenue cycle management.

Responsibilities

Prepare, review, and submit accurate Medicaid claims electronically and through appropriate billing platforms.
Verify patient eligibility, authorization requirements, and billing information before claim submission.
Process payments, post insurance remittances, and reconcile accounts accurately.
Monitor unpaid claims and perform timely follow-up with Medicaid payers.
Research, analyze, and resolve claim denials, rejections, and billing discrepancies.
Support the revenue cycle process and maintain accounts receivable performance while following Medicaid regulations and payer requirements.