Medical Billing & Revenue Cycle Specialist

Tufts Medicine; Irvine (CA); On-site; USD 30,000 - 37,000; Full time

Job summary

Tufts Medicine in Lowell, MA is seeking a billing specialist focused on revenue cycle operations, including eligibility verification, billing edits, and payer follow-up. The role emphasizes accurate account management and timely remittance processing in a friendly campus environment.

You will handle accounts receivable, collections, and patient billing while coordinating with Patient Access, Coding, and other teams to maximize reimbursement.

Qualifications

• High school diploma or equivalent is required.
• Minimum 2 years in medical billing/collections for a provider or payer.
• Epic HB Billing or PB Billing experience preferred.
• HFMA CRCR certification preferred.

Responsibilities

• Ensure timely billing to payers with complete information.
• Follow up on outstanding receivables and resolve balances.
• Research claim denials and initiate corrective actions.
• Process appeals with proper documentation.
• Maintain knowledge of CPT/ICD-10 coding.
• Collaborate with departments to resolve accounts.

Skills

Billing knowledge

Accounts receivable

Communication skills

Team collaboration

Education

High school diploma

Tools

Epic HB Billing

PB Billing

Insurance follow-up systems

Job description

Tufts Medicine in Lowell, MA is seeking a billing specialist focused on revenue cycle operations, including eligibility verification, billing edits, and payer follow-up. The role emphasizes accurate account management and timely remittance processing in a friendly campus environment.

You will handle accounts receivable, collections, and patient billing while coordinating with Patient Access, Coding, and other teams to maximize reimbursement.