Hybrid Public Provider Reimbursement Specialist

University of Massachusetts Medical School; Westborough (MA); On-site; USD 55,000 - 70,000; Full time

Job summary

University of Massachusetts Medical School in Westborough hybrids in-office and remote work for a PPR Specialist. You will perform medical billing, determine coverage, and coordinate access to MassHealth, Medicare and related programs for state and community-based services.

The role requires an Associate's degree or equivalent, 1-3 years of experience, and proficiency with Microsoft Office. Strong communication and adaptability are essential to support revenue and compliance.

Qualifications

• Associate's degree or equivalent experience.
• 1-3 years of related experience.
• Familiarity with database and spreadsheet applications such as Microsoft Office.
• Ability to communicate effectively.

Responsibilities

• Perform and assist with medical billing and claiming activities to obtain reimbursement from payers.
• Meet all claiming, eligibility and accounts receivable deadlines.
• Identify and coordinate access to MassHealth, Medicare and other programs.
• Outreach to clients and guardians to complete applications and documents for health coverage.
• Review and analyze data, maintain spreadsheets and systems, resolve discrepancies.
• Provide professional customer service to internal and external customers.

Skills

Medical billing

Data entry

Communication

Adaptability

Customer service

Education

Associate's degree or equivalent experience

Tools

Microsoft Excel

Microsoft Word

Teams

OneDrive

Job description

University of Massachusetts Medical School in Westborough hybrids in-office and remote work for a PPR Specialist. You will perform medical billing, determine coverage, and coordinate access to MassHealth, Medicare and related programs for state and community-based services.

The role requires an Associate's degree or equivalent, 1-3 years of experience, and proficiency with Microsoft Office. Strong communication and adaptability are essential to support revenue and compliance.