Medical Billing Specialist - Revenue Operations

Entyre Inc•Boston, MA

4d•$70,000 - $80,000

About The Position

We are hiring a Medical Billing Specialist with deep experience in healthcare billing and a working knowledge of accounting and operational reporting. This role is responsible for executing and reconciling billing activity end-to-end, with a focus on Medicaid and national insurance payers. This position also plays a critical role in ensuring data integrity across billing, clinical, and operational systems, working closely with data, clinical, and onboarding teams to maintain accurate and timely inputs that directly impact billing, collections, and payouts.

Requirements

5+ years of medical billing experience (Medicaid + national payers)
3+ years of accounting or AR reconciliation experience
Experience with clearinghouses and payment portals
Strong revenue cycle knowledge
Cross-functional collaboration experience
Excel proficiency
Business Intelligent tool experience
Payroll proficiency
Ability to trace data issues across systems
Experience working with data teams
Understanding of billing data dependencies
Ability to translate operational issues into data requirements

Nice To Haves

Basic SQL preferred

Responsibilities

Manage full-cycle medical billing: charge entry, claims submission, payment posting, and denial resolution
Submit and track claims through clearinghouses and payer-specific payment portals
Work primarily with Medicaid and national insurance companies
Investigate and resolve denials, rejections, and underpayments
Maintain accurate billing records
Reconcile AR across billing systems and financial records
Identify discrepancies between expected reimbursements and actual payments
Own AR aging review and resolution
Support month-end close with validated AR balances
Validate payroll inputs tied to billing activity
Reconcile payroll/payout data against billing records
Flag inconsistencies impacting compensation
Partner with data teams on data accuracy and pipelines
Work with clinical teams on documentation and coding validation
Collaborate with onboarding teams for correct system setup
Identify upstream data issues and drive resolution
Analyze billing and AR data for trends and issues
Produce recurring reports and support ad hoc analysis
Utilize reporting dashboards from Business Intelligent tools for data and daily operation
Improve reporting and billing workflows
Collaborate with data teams to improve the company data reports and data quality