Accounts Receivable Specialist I, Physician Billing

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Exemption Status: Non-Exempt
Hiring Range: $19.74 – $26.96 (final offer may vary based on experience, skills, qualifications, and internal equity)

Schedule

• Monday through Friday
• Scheduled hours: 6:00 AM – 2:30 PM, 6:30 AM – 3:00 PM, 7:00 AM – 3:30 PM, or 8:00 AM – 4:30 PM
• Shift: Day, 8 hours
• Hours: 40 per week

About the Role

At UMass Memorial Health, everyone is a caregiver—regardless of title or responsibilities. We are more than 20,000 employees working together as one health system, delivering exceptional patient care, academic excellence, and leading-edge research. This role is part of our relentless pursuit of healing for patients, the community, and each other.

This position may have a signing bonus available; eligibility will be confirmed during the interview process.

Responsibilities

• Calls insurance companies and utilizes payor websites 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.

Qualifications

Required

• High School Diploma or equivalent.
• Previous Revenue Cycle knowledge in one of the following areas: PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding, and/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.

Preferred

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