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Accounts Receivable Specialist I, Physician Billing.

Role overview

Summary

This role is for an Accounts Receivable Specialist I focused on physician billing at UMass Memorial Health. You will manage complex claims follow-up and ensure accurate billing processes, contributing to the overall efficiency of the revenue cycle within the healthcare system.

Qualifications

  • High School Diploma.
  • Previous Revenue Cycle knowledge in areas such as PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding, or 3rd party Reimbursement.
  • Ability to perform assigned tasks efficiently and in a timely manner.
  • Ability to work collaboratively and effectively with people.
  • Exceptional communication and interpersonal skills.

Responsibilities

  • Call insurance companies and utilize payor websites to secure outstanding payments.
  • Review rejections in assigned payors and plans to determine validity and resolve invoices.
  • Calculate and post adjustments based on third party reimbursement guidelines and contracts.
  • Input missing data and correct registration and other errors as indicated.

Key facts

  • Remote from: United States
  • Full time
  • Junior (1-2 years)
  • Accounts Receivable Specialist
  • $38K – $52K / year
  • English

Hard skills

Other skills

  • Customer Service
  • Communication
  • Social Skills
  • Teamwork

About the company

UMass Memorial Health logo

UMass Memorial Health

  • Hospitals & Health Systems
  • 10,001+
UMass Memorial Health is the health and wellness partner of the people of Central Massachusetts. Through pain and pandemics, our commitment to our communities never wanes. We use knowledge and innovation to create breakthrough medicine, to create jobs, and to make life better for those we serve. We are leaders in the training of physicians and those who work in every facet of health care. We make outstanding care accessible for all, regardless of ability to pay. We stand for quality, compassion, dignity, opportunity and fairness. And we are relentless in our pursuit of healing. UMass Memorial Health is the largest health care system in Central Massachusetts. We are the clinical partner of the University of Massachusetts Chan Medical School, with access to the latest technology, research and clinical trials. UMass Memorial Health: Locations in Central Massachusetts Our locations include: • UMass Memorial Medical Center (Worcester) • UMass Memorial Health – HealthAlliance-Clinton Hospital (Fitchburg, Clinton and Leominster) • UMass Memorial Health – Marlborough Hospital (Marlborough) • UMass Memorial Health - Harrington (Southbridge, Webster) • UMass Memorial Health - Milford Regional (Milford) • Community Healthlink (Worcester, Leominster) We have an affiliation with CareWell Urgent Care to provide regional urgent care services. Also, the UMass Memorial Medical Group provides high quality, low-cost outpatient surgery services at The Surgery Center in Shrewsbury. UMass Memorial Health Care by the numbers: 2,400 physicians on our active medical staff 3,000 registered nurses 20,000 total employees 1,200 beds in our hospitals

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Job description

Are you a current UMass Memorial Health caregiver? Apply now through Workday.

Exemption Status:

Non-Exempt

Hiring Range:

$19.74 - $26.96

(based on a full time schedule of 40 hours per week).

Please note that the final offer will vary based on scheduled hours. Compensation for part-time or reduced schedules will be prorated based on scheduled weekly hours, experience, skills, qualifications, and internal equity considerations.

Schedule Details:

Monday through Friday

Scheduled Hours:

8 hrs shirft starting between 6am to 6pm

Shift:

1 - Day Shift, 8 Hours (United States of America)

Hours:

40

Cost Center:

99940 - 5442 Primary Care Pod Ar

Union:

SHARE (State Healthcare and Research Employees)

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

Responsible for follow-up of complex claims for payment.

I. Major Responsibilities: 

1. Calls insurance companies and utilizes payor web-sites while working detailed reports to secure outstanding payments.
2. Reviews rejections in assigned payors and plans to determine validity of rejection and takes appropriate action to resolve the invoice.
3. Calculates and posts adjustments based on third party reimbursement guidelines and contracts.
4. Makes appropriate payor and plan changes to secondary insurers or responsible parties.
5. Inputs missing data as required and corrects registration and other errors as indicated.


II. Position Qualifications:


License/Certification/Education:
Required:
1. High School Diploma 


Experience/Skills: 
Required:
1. Previous Revenue Cycle knowledge in one of the following areas including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party Reimbursement.
2. Ability to perform assigned tasks efficiently and in timely manner.
3. Ability to work collaboratively and effectively with people. 
4. Exceptional communication and interpersonal skills.


Preferred:
1. One or more years of experience in health care billing functions.


Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.



All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.

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