Medical Biller

Aspire Health Alliance; Braintree (MA); On-site; USD 31,684 - 42,705; Full time

Job summary

Aspire Health and Community Services is seeking a detail-oriented Medicaid Biller & Follow-Up Specialist to manage the full revenue cycle, including claim submission and denial resolution, ensuring accurate billing and timely reimbursement.

Ideal candidates will have 2+ years of Medicaid billing experience, strong analytical skills, and proficiency with electronic billing systems and payer portals. This role supports our mission to provide compassionate, high-quality care.

Qualifications

• 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.

Responsibilities

• Manage full revenue cycle process including claim submission, payment posting, account follow-up, and denial resolution.
• Prepare, review, and submit Medicaid claims electronically and through billing platforms.
• Verify patient eligibility, authorization requirements, and billing information prior to submission.
• Process payments, post remittances, and reconcile accounts.
• Monitor unpaid claims and perform timely follow-up with Medicaid payers.
• Research, analyze, and resolve claim denials, rejections, and discrepancies.

Skills

Medicaid billing

Attention to detail

Problem solving

Communication skills

Tools

Electronic billing systems

Job description

Aspire Health and Community Services recognizes that attracting and retaining exceptional staff is the key to providing excellent care for our clients. Whether a staff member is providing direct care to those we serve or working on the administrative end supporting the services we are proud to provide, each person’s contribution is highly valued.

Our mission, vision and values are supported by organizational culture guiding the work for every staff member: We are one compassionate, accountable community.

Working at Aspire Health and Community Services can provide enormous job satisfaction. Your contribution is serving to help fulfill a mission, vision and values that support our belief that mental health is the foundation of a person’s overall health and we work to foster an environment that is safe and supportive and free of judgement or prejudice around mental health. In addition, Aspire Health and Community Services offers a competitive package of compensation and benefits.

We are 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. This role is responsible for ensuring accurate billing, timely reimbursement, and maintaining strong accounts receivable performance while adhering to Medicaid regulations and payer requirements.

The ideal candidate will have strong knowledge of Medicaid billing processes, excellent attention to detail, and the ability to investigate and resolve claim issues efficiently. Prepare, review, and submit accurate Medicaid claims electronically and through appropriate billing platforms. Verify patient eligibility, authorization requirements, and billing information prior to 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.

Requirements

• 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
• Proficient with Microsoft Office and billing software systems
• Knowledge of healthcare revenue cycle management

Compensation is based on candidate experience, qualifications, and certifications and licenses. Annual ranges listed are based on a full-time, 40 hours per week position.

Salary Range

$26.94 - $26.94 USD

Aspire Health and Community Services is committed to and passionate about diversity, equity, and inclusion. We celebrate, support, and promote diversity of thought, culture, and backgrounds. As an employer committed to equal opportunity, we base all employment decisions on each individual’s capabilities and qualifications, without regard to race, color, religious creed, national origin, ancestry, sex, sexual orientation, gender identity, age, physical or mental disability, veteran status, genetics, or any other protected characteristic. Aspire Health and Community Services strives to fully reflect the clients and communities we serve and believes that a diversity of interests and cultures leads to a stronger and more innovative organization.