AR Specialist I
About The Position
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.
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.
- Complies with established departmental policies, procedures and objectives.
- Attends variety of meetings, conferences, seminars as required or directed.
- Demonstrates use of Quality Improvement in daily operations.
- Complies with all health and safety regulations and requirements.
- Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
- Maintains, regular, reliable, and predictable attendance.
- Performs other similar and related duties as required or directed.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
