Responsible for preparing, submitting, and following up on claims across all service lines at a federally qualified health center (FQHC).
Ensures timely and compliant billing to Medicaid, Medicare, commercial insurers, and other payers in accordance with FQHC-specific regulations and guidelines.
Supports revenue cycle operations, accounts receivable management, patient balance follow-up, sliding fee scale administration, denial resolution, payment posting, and reimbursement optimization.
Works closely with clinical, quality, population health, and finance teams to support accurate data capture, financial integrity, and value-based care reporting.
High school diploma or equivalent required.
At least 2 years of medical billing experience required; FQHC billing experience strongly preferred.
Knowledge of CPT, ICD-10, and HCPCS coding.
Experience with electronic health records (EHR) and practice management systems such as Epic.
Strong understanding of healthcare billing processes, payer rules, reimbursement systems, A/R management, and claims processing.
Ability to handle denials, appeals, corrected claims, payer follow-up, and payment posting accurately.
Excellent communication, customer service, problem-solving, and organizational skills.
Preferred: associate degree or certification in medical billing/coding or healthcare administration.
Preferred certifications: CPB, CPC, or equivalent.
Dental insurance
Employee assistance program
Flexible schedule
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Retirement plan
Vision insurance
Location
Massachusetts, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$70,000 - $78,000
Remote work allowed
Yes
Posted
3 weeks ago