Medicaid AR Specialist — Revenue Cycle & Denials Expert

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 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.