Job Description

Billing Clerk Position

We are looking for an experienced Billing Clerk to join our team on a long-term contract basis in Taunton, Massachusetts. In this role, you will play a vital part in managing medical billing processes, ensuring accuracy in claims reconciliation, and maintaining strong communication with insurance representatives. The ideal candidate will have a background in healthcare billing, preferably with experience in behavioral health.

Responsibilities:

• Perform claims reconciliation for Mass Medicaid, including addressing approvals or denials and resolving any discrepancies.
• Conduct research to identify and resolve issues related to billing and insurance claims.
• Manage medical billing processes, ensuring timely and accurate submission of claims.
• Maintain patient insurance and demographic records, ensuring all information is up-to-date and accurate.
• Collaborate with insurance representatives to address claim-related issues and improve communication.
• Provide guidance to program directors and clinicians regarding billing procedures and specifications.
• Generate and review aging reports to monitor claims and ensure compliance with payer filing deadlines.
• Analyze high balance accounts and report any account activity concerns to the Billing Manager.
• Stay informed about payer specifications and independently research requirements.
• Utilize clearinghouse systems, such as Inovalon, for efficient claim processing.

Requirements:

• Proven experience in medical billing, with a preference for candidates familiar with behavioral health.
• Strong understanding of healthcare billing practices and insurance claim processes.
• Proficiency in using computerized billing systems and clearinghouse platforms.
• Ability to perform detailed claims reconciliations and resolve issues independently.
• Knowledge of payer specifications and timely filing requirements for claims.
• Excellent organizational skills and attention to detail for maintaining accurate records.
• Effective communication skills to liaise with insurance representatives and internal teams.
• Familiarity with clearinghouse systems like Inovalon is highly desirable.

Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training.

Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans.

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