Hospital Billing Specialist (Accounts Receivable)

Location: Onsite training required for the first 180 days at 55 Technology Drive, Lowell, MA; remote flexibility may be offered at the manager’s discretion after training.

Pay range: $21.53–$26.91 per hour

Company

hirify.global provides healthcare services and operates a provider organization with hospital revenue cycle and patient billing functions.

What you will do

• Manage assigned accounts receivable, including eligibility verification, billing edits, claim edits, payer follow-up, correspondence review, and reimbursement verification.
• Research rejected and denied claims, determine financial responsibility, initiate corrections, and escalate complex issues when needed.
• Prepare and process appeals with complete supporting documentation and submit corrected claims to third-party payers.
• Process contractual and denial-related adjustments while maximizing reimbursement in accordance with payer, government, and organizational requirements.
• Communicate with payer representatives and collaborate with Patient Access, Revenue Integrity, Coding, Medical Records, Utilization Review, hospital departments, and physician offices.
• Monitor productivity, collections, and quality targets; identify workflow trends and report operational issues to management.

Requirements

• High school diploma or equivalent.
• At least two years of experience in medical billing and collections for a medical services provider or third-party payer.
• Working knowledge of payer billing, collection, reimbursement, coverage eligibility, and third-party payer rules, including Commercial, Blue Cross, Medicare, Medicaid, and Managed Care.
• Knowledge of Massachusetts provider regulations and annual CPT/ICD-10 coding guideline updates.
• Ability to analyze account problems, manage multiple tasks, work independently, and maintain accurate documentation.
• Proficiency with accounts receivable systems, third-party application systems and web portals, email, spreadsheets, and other computer-based tools.

Nice to have

• Epic HB Billing, PB Billing, or Insurance Follow-Up experience.
• Medical terminology coursework and understanding of CPT and ICD diagnosis coding.
• HFMA CRCR certification.
• Epic certifications.

Culture & Benefits

• Professional office environment with computer-based billing and communication tools.
• Full-time schedule of 40 hours per week, Monday through Friday, from 7:00 AM to 3:30 PM.
• Work independently and collaboratively in a fast-paced environment focused on service, productivity, and team building.
• Total Rewards package supporting health, financial security, and career growth.
• Remote work may become available after the initial 180-day onsite training period at the manager’s discretion.