Senior Medicaid Billing & AR Specialist

entyreinc; Boston (MA); On-site; USD 65,000 - 95,000; Full time

Job summary

Entyre Inc. is seeking a Medical Billing Specialist with deep healthcare billing expertise, especially Medicaid and national payers.

The role emphasizes end-to-end billing, strong data integrity across billing, clinical, and onboarding systems, and partnership with data and operations teams to ensure timely inputs and payouts. The candidate will manage AR reconciliation, payroll-related checks, and BI-driven reporting to monitor trends and support month-end close.

Qualifications

• 5+ years of medical billing experience with Medicaid and 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 Intelligence tool experience.
• Payroll proficiency.
• Ability to trace data issues and work with data teams.
• Understanding of billing data dependencies; 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 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.
• 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.
• Partner with data teams on data accuracy and pipelines.
• Collaborate with clinical teams for documentation and coding validation.
• Work with onboarding teams for correct system setup.
• Identify upstream data issues and drive resolution.
• Analyze billing and AR data for trends and issues; produce reports.
• Utilize BI dashboards; improve reporting and workflows.

Skills

Medical billing

AR reconciliation

Clearinghouses

Revenue cycle

Cross-functional collaboration

Excel

BI tools

Payroll

SQL

Job description

Entyre Inc. is seeking a Medical Billing Specialist with deep healthcare billing expertise, especially Medicaid and national payers.

The role emphasizes end-to-end billing, strong data integrity across billing, clinical, and onboarding systems, and partnership with data and operations teams to ensure timely inputs and payouts. The candidate will manage AR reconciliation, payroll-related checks, and BI-driven reporting to monitor trends and support month-end close.