Medical Billing & Coding Specialist - Revenue-Cycle Pro

Child Health Associates; Auburn (MA); On-site; USD 55,000 - 75,000; Full time

Job summary

Child Health Associates is seeking a detail-oriented Medical Biller with coding experience to join our Auburn, MA practice and help manage the revenue cycle. You will ensure accurate billing, process claims efficiently, and resolve outstanding balances while protecting patient confidentiality.

The ideal candidate has experience with ICD-10-CM, CPT, and HCPCS, strong organizational skills, and the ability to work independently in a supportive team environment.

Qualifications

• High school diploma or equivalent; additional education in medical billing and coding preferred.
• Experience in medical billing, coding, or healthcare revenue cycle.
• Working knowledge of ICD-10-CM, CPT, and HCPCS.
• Understanding of insurance claims processing and reimbursement.
• Experience using EHR/EMR systems and medical billing software.
• Strong attention to detail and accuracy; excellent organizational and communication skills.
• Ability to work independently and meet deadlines while maintaining confidentiality per HIPAA.

Responsibilities

• Prepare, submit, and follow up on electronic and paper medical claims.
• Review patient accounts and documentation to ensure accurate billing and coding.
• Ensure claims meet payer guidelines and applicable billing requirements.
• Investigate and resolve claim denials, rejections, and billing discrepancies.
• Follow up on outstanding accounts receivable and unpaid claims.
• Review EOBs and ERAs and accurately post insurance and patient payments.
• Verify insurance eligibility and benefits as needed.
• Communicate with insurance companies, patients, providers, and team members to resolve billing issues.
• Identify coding or documentation concerns affecting reimbursement and communicate them to staff.
• Maintain accurate billing records while protecting patient confidentiality.
• Assist with account reconciliation, audits, and other revenue-cycle activities as needed.
• Stay current on coding guidelines, payer requirements, and billing regulations.

Skills

Medical billing

Coding

ICD-10-CM

CPT

HCPCS

EHR/EMR systems

Attention to detail

Organization

Problem solving

Education

High school diploma

Medical billing and coding training

Tools

EHR/EMR software

Medical billing software

Job description

Child Health Associates is seeking a detail-oriented Medical Biller with coding experience to join our Auburn, MA practice and help manage the revenue cycle. You will ensure accurate billing, process claims efficiently, and resolve outstanding balances while protecting patient confidentiality.

The ideal candidate has experience with ICD-10-CM, CPT, and HCPCS, strong organizational skills, and the ability to work independently in a supportive team environment.