Job Description
Job DescriptionWe are looking for a detail-oriented Patient Access Billing Clerk to support billing and reimbursement operations for a healthcare team in Methuen, Massachusetts. This Long-term Contract position focuses on accurate claim preparation, follow-up on unpaid balances, and timely resolution of billing issues to help maintain steady cash flow. The ideal candidate brings hands-on experience in medical billing, collections, and patient access, along with the ability to work carefully within payer guidelines and internal billing procedures.
Responsibilities:
• Create and transmit medical claims in a timely manner while ensuring all billing details meet payer and departmental standards.
• Monitor open account balances, investigate delayed reimbursements, and take appropriate follow-up steps to secure payment.
• Prepare claim corrections and formal appeals when additional documentation or resubmission is needed to support reimbursement.
• Verify insurance coverage through online payer resources to confirm active benefits and identify the appropriate plan for billing.
• Review patient and service information before submission to produce complete, accurate claims with minimal errors.
• Research rejected or denied claims, update account information, and coordinate next steps to move accounts toward resolution.
• Record charges, payments, adjustments, and denial activity accurately within the billing platform.
• Process refund requests for insurers or patients and maintain proper documentation for each transaction.
• Reconcile daily billing batches, identify discrepancies, and correct issues before closing out or beginning the next cycle.• At least 1 year of experience in medical billing, claims follow-up, collections, or a related healthcare revenue cycle role.
• Working knowledge of insurance verification, claim submission, denial review, and payment posting processes.
• Familiarity with patient access functions and billing systems used to track eligibility, claims, and account activity.
• Ability to review detailed financial and insurance information with a high level of accuracy.
• Strong problem-solving skills for researching rejections, denials, and unpaid balances.
• Comfortable managing multiple billing tasks while meeting deadlines in a fast-paced environment.
• Clear written and verbal communication skills when handling account issues, appeals, and refund activity.