Accounts Receivable Specialist I, Physician Billing.

UMass Memorial HealthWorcester, MA
14d$20 - $31

About The Position

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $19.74 - $30.80 Please note that the final offer may vary within this range based on a candidate’s 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) 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 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) A talent acquisition caregiver will provide more details during the interview process.

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

  • 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.
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