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Medical Billing Specialist - Revenue Operations

Entyre Care

We are hiring a Medical Billing Specialist to manage end-to-end billing and revenue operations for healthcare claims, with a focus on Medicaid and national insurance payers. The role supports accurate billing, collections, reconciliation, and payout processes while partnering closely with clinical, data, and onboarding teams to maintain data integrity across systems.

Key responsibilities include full-cycle medical billing, claims submission, payment posting, denial resolution, AR reconciliation, payroll and payout support, cross-functional data collaboration, and recurring reporting and analysis. The role also contributes to improving billing workflows, reporting quality, and operational data accuracy.

Requirements & Qualifications

Required experience

  • 5+ years of medical billing experience, including 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

Additional qualifications

  • Ability to trace data issues across systems
  • Experience working with data teams
  • Understanding of billing data dependencies
  • Ability to translate operational issues into data requirements
  • Basic SQL preferred

Location

Boston, Massachusetts, US

Employment Type

Full-time

Experience Level

Senior

Salary Range

$70,000 - $80,000

Remote work allowed

No

Posted

2 weeks ago

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