Accounts Receivable Specialist I, Physican Billing.

UMass Memorial Health - Worcester, MA

Full-time

Worcester, MA

10,001+ employees

Ambulatory Health Care Services

About the position

The Accounts Receivable Specialist I in Physician Billing at UMass Memorial Health is a vital role within the revenue cycle team, responsible for ensuring the timely and accurate follow-up of complex claims for payment. This position requires a proactive approach to managing outstanding payments by engaging with insurance companies and utilizing their web portals to resolve issues. The specialist will review rejections from assigned payors to determine their validity and take appropriate actions to rectify any discrepancies. This includes calculating and posting adjustments based on third-party reimbursement guidelines and contracts, as well as making necessary changes to secondary insurers or responsible parties. The role also involves inputting missing data and correcting registration errors as needed, ensuring that all claims are processed efficiently and accurately. Working hours for this position are Monday through Friday, with shifts available from 6:00 AM to 4:30 PM, providing flexibility in scheduling. UMass Memorial Health emphasizes a culture where every employee is considered a caregiver, contributing to exceptional patient care and a collaborative work environment. The organization is committed to diversity and inclusion, encouraging applicants from various backgrounds to apply. The position may also offer a signing bonus, which will be confirmed during the interview process. Overall, this role is essential in supporting the financial health of the organization while maintaining high standards of respect and teamwork among staff.

Responsibilities

• Follow up on complex claims for payment.
• Call insurance companies and utilize payor websites to secure outstanding payments.
• Review rejections from assigned payors to determine validity and take appropriate action.
• Calculate and post adjustments based on third-party reimbursement guidelines and contracts.
• Make appropriate changes to secondary insurers or responsible parties.
• Input missing data and correct registration errors as indicated.

Requirements

• High School Diploma or GED required.
• Previous Revenue Cycle knowledge in areas such as PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding, or 3rd 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 health care billing functions.

Benefits

• Signing bonus eligibility (to be confirmed during the interview process).