Accounts Receivable I, Physician Billing

UMass Memorial Health•Worcester, MA

19h•Onsite

About The Position

This position is responsible for the follow-up of complex claims for payment. The role involves calling insurance companies, utilizing payor websites, and working detailed reports to secure outstanding payments. The individual will review rejections in assigned payors and plans to determine the validity of the rejection and take appropriate action to resolve the invoice. This role also calculates and posts adjustments based on third-party reimbursement guidelines and contracts, makes appropriate payor and plan changes to secondary insurers or responsible parties, and inputs missing data as required, correcting registration and other errors as indicated. At UMass Memorial Health, everyone is a caregiver, and this role plays an important part in the relentless pursuit of healing for patients, the community, and each other.

Requirements

High School Diploma
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.

Nice To Haves

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

Responsibilities

Follow-up of complex claims for payment.
Call insurance companies and utilize payor web-sites while working detailed reports to secure outstanding payments.
Review rejections in assigned payors and plans to determine validity of rejection and take appropriate action to resolve the invoice.
Calculate and post adjustments based on third party reimbursement guidelines and contracts.
Make appropriate payor and plan changes to secondary insurers or responsible parties.
Input missing data as required and correct registration and other errors as indicated.