Accounts Receivable Specialist I, Physician Billing.

C999 UMass Memorial Health Care, Inc.; Worcester (MA); On-site; USD 27,000 - 42,000; Full time

Benefits offered by this job

Sign-on bonus

Job summary

UMass Memorial Health is seeking a Revenue Cycle Associate to manage follow-up of complex claims for payment. The position offers a non-exempt, full-time schedule with a 40-hour workweek and a $3,000 sign-on bonus for external hires, recognizing experience and internal equity considerations.

Responsibilities include calling insurance payors, reviewing denials, posting adjustments, making secondary payor changes, and correcting registrations.

Qualifications

• 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.

Responsibilities

• Calls insurance companies and utilizes payor websites 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.

Skills

Revenue Cycle

Communication

Team Collaboration

Attention to Detail

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 shift 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.

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

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.

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.

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

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

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.

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

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

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.

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.

At UMass Memorial Health, everyone is a caregiver. No matter their responsibilities or title, every employee or “caregiver” fills an important role for our patients and their families every day.

Who is a caregiver? It’s not just the person who delivers the care. It’s all the people who make it work … and make it better. Caregivers give everything that helps patients heal, from expertise to extra attention. They give clean, comfortable rooms. Fast, accurate answers. And an easier, less stressful experience. They give warm, reassuring smiles, and helping hands. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, our community and each other. And everyone, in their own unique way, plays an important part, every day.