Accounts Receivable Specialist I, Physician Billing.

UMass Memorial Health•Worcester, MA
•$20 - $27

About The Position

The Accounts Receivable Specialist I, Physician Billing is responsible for following up on complex claims to secure payment. The role works detailed reports, contacts insurance companies, and uses payer websites to resolve outstanding payments and invoices. It also reviews claim rejections, applies adjustments according to third-party reimbursement guidelines and contracts, updates payer and plan information, and corrects missing or inaccurate registration data. The position requires a high school diploma and prior revenue cycle knowledge in at least one of several related areas. Experience in healthcare billing functions is preferred. The role is scheduled Monday through Friday for 40 hours per week, with an eight-hour day shift starting between 6 a.m. and 6 p.m. The stated hiring range is $19.74–$26.96; the final offer may vary based on scheduled hours, experience, skills, qualifications, and internal equity. A signing bonus may be available, with eligibility confirmed during the interview process.

Requirements

  • High school diploma.
  • Previous revenue cycle knowledge in at least one of the following areas: PFS, customer service, cash posting, financial assistance, patient access, HIM/coding, or third-party reimbursement.
  • Ability to perform assigned tasks efficiently and in a 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 healthcare billing functions.

Responsibilities

  • Call insurance companies and use payer websites while working detailed reports to secure outstanding payments.
  • Review rejections for assigned payers and plans, determine whether they are valid, and take appropriate action to resolve invoices.
  • Calculate and post adjustments based on third-party reimbursement guidelines and contracts.
  • Make appropriate payer and plan changes for secondary insurers or responsible parties.
  • Enter missing data and correct registration and other errors as indicated.

Benefits

  • A signing bonus may be available; eligibility will be confirmed by a member of the Recruitment Team during the interview process.
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