Job Description
Job Description
Responsibilities
We are seeking a detail-oriented and experienced Medical Biller to assist with the clean-out of a legacy billing system. This role will focus on reviewing, managing, and resolving outstanding insurance denials and appeals to ensure accurate and timely reimbursement. The ideal candidate will have a strong understanding of medical billing practices, payer guidelines, and denial management workflows.
Key Responsibilities:
- Review and analyze outstanding claims from the legacy system.
- Identify and categorize denials by type and payer.
- Prepare and submit timely and accurate appeals to insurance companies.
- Follow up on appealed claims to ensure resolution and payment.
- Document all actions taken in the billing system and maintain clear records.
- Collaborate with internal teams (coding, providers, and billing) to resolve complex denials.
- Monitor trends in denials and recommend process improvements.
- Assist with data cleanup and reconciliation efforts related to the legacy system.
- Other duties as assigned.
Essential Skills Needed
- 3+ years of EPIC experience.
- 2-3+ years of experience working in a multi-specialty ambulatory clinic handling medical billing.
- Ability to communicate effectively with insurance companies and understand the claims process.
- Proficiency in medical billing and healthcare systems.
Skills & Qualifications
- High School Diploma or GED.
- Strong claims processing experience- full cycle for 3+ years
Schedule will be Hybrid – 1 day/week onsite after training (training typically a few weeks).
Pay and Benefits
The pay range for this position is $25.00 - $26.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a hybrid position in Norwood,MA.
Application Deadline
This position is anticipated to close on Sep 24, 2025.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.