UMass Memorial Health-posted 3 days ago
$20 - $31/Yr
Full-time • Entry Level
Remote • Worcester, MA
5,001-10,000 employees

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.

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