Accounts Receivable Specialist I

UMass Memorial Health; Worcester (MA); On-site; USD 40,000 - 60,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated individual to join their revenue cycle team. This position plays a vital role in ensuring the financial health of the organization by managing complex claims and ensuring timely payments. With a focus on exceptional patient care and teamwork, this role offers the opportunity to contribute to a mission-driven environment. Ideal candidates will possess strong communication skills and a collaborative spirit, making a significant impact in the healthcare community. If you are passionate about making a difference and have a background in revenue cycle management, this opportunity is perfect for you.

Qualifications

• Previous experience in healthcare billing functions preferred.
• Ability to perform tasks efficiently and in a timely manner.

Responsibilities

• Follow-up on complex claims for payment.
• Call insurance companies and resolve invoice rejections.
• Calculate adjustments based on reimbursement guidelines.

Skills

Revenue Cycle Knowledge

Customer Service

Communication Skills

Interpersonal Skills

Ability to Work Collaboratively

Education

High School Diploma

Job description

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account.

Exemption Status:

Non-Exempt

Schedule Details:

Monday through Friday

Scheduled Hours:

6 to 2:30pm 6:30 to 3pm 7 to 3:30pm 8 to 4;30 pm

Shift:

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

Hours:

40

Cost Center:

99940 - 5454 Surgery 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 16,000 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.

Major Responsibilities:

• Calls insurance companies and utilizes payor web-sites while working detailed reports to secure outstanding payments.
• Reviews rejections in assigned payors and plans to determine validity of rejection and takes appropriate action to resolve the invoice.
• Calculates and posts adjustments based on third party reimbursement guidelines and contracts.
• Makes appropriate payor and plan changes to secondary insurers or responsible parties.
• Inputs missing data as required and corrects registration and other errors as indicated.
• Schedule: 6 to 2:30pm, 6:30 to 3pm, 7 to 3:30pm, or 8 to 4;30 pm

Position Qualifications:

License/Certification/Education:

Required:

• High School Diploma

Experience/Skills:

Required:

• 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.
• Ability to perform assigned tasks efficiently and in timely manner.
• Ability to work collaboratively and effectively with people.
• Exceptional communication and interpersonal skills.

Preferred:

• One or more years of experience in health care billing functions.

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 [e-mail]. We will make every effort to respond to your request for disability assistance as soon as possible.