Accounts Receivable Specialist I, Physician Billing.

UMass Memorial Health; Worcester (MA); On-site; USD 27,000 - 42,000; Full time

Benefits offered by this job

Sign-on Bonus $3,000

Job summary

UMass Memorial Health is seeking a Revenue Cycle Specialist to follow up on complex claims for payment and coordinate with payors to secure outstanding balances. The role offers a 40-hour work week with a full-time schedule and on-site work in Worcester, MA.

A signing bonus of $3,000 is available for external hires, and compensation will be adjusted based on hours worked and qualifications. Responsibilities include contacting insurers, reviewing and resolving claim rejections, posting

Qualifications

• Required: High School Diploma.
• Experience in Revenue Cycle-related areas is preferred.

Responsibilities

• Calls insurance companies and uses payor websites to collect outstanding payments.
• Reviews rejections to determine validity and resolves invoices.
• Calculates and posts adjustments per third-party guidelines.
• Makes payor/plan changes to secondary insurers or responsible parties.
• Inputs missing data and corrects registration errors.

Skills

Revenue Cycle knowledge

Customer Service

Communication

Teamwork

Education

High School Diploma

Job description

Exemption Status: Non-Exempt

Hiring Range: $19.74 - $30.80

(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)

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.

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

$3,000 Sign On Bonus! (For All External Hires)

A talent acquisition caregiver will provide more details during the interview process.

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.
• Required: 2. Ability to perform assigned tasks efficiently and in timely manner.
• Required: 3. Ability to work collaboratively and effectively with people.
• Required: 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 [e-mail]. We will make every effort to respond to your request for disability assistance as soon as possible.