Accounts Receivable Specialist I, Physician Billing.

UMass Memorial Health•Worcester, MA

19d•$20 - $31

About The Position

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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