Schedule Details:

Scheduled Hours:

Shift:

Hours:

Cost Center:

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health everyone is a caregiver regardless of their title or responsibilities. Exceptional patient care academic excellence and leadingedge 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 20000 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.

I. Major Responsibilities:

1. Coordinates billing of inpatient and outpatient accounts. Ensures appropriate payment and reduction in accounts receivable.
2. Coordinates billing procedures for all thirdparty payers. Reviews billed accounts to ensure accuracy.
3. Ensures appropriate writeoffs are posted and accurate.
4. Interfaces with Information Systems to ensure accurate and timely changes to computer system. Maintains billing resource files. Continues efforts to increase billing of all financial classes electronically.
5. Maintains policy and procedure manual for area. Ensures that staff is following established policy and procedures.
6. Maintains records and statistics as required. Monitors and reports on productivity and attendance of staff.
7. Assists in development and implementation of productivity standards auditing procedures and controls to ensure that appropriate account documentation timely collection and appropriate appeals are completed. Monitors and provides regular feedback to staff based on established standards.
8. Maintains current knowledge of third party payers billing requirements and regulatory guidelines at state and federal levels. Routinely monitors payment cycles and maintains direct communication with third party payers to immediately improve payment cycles when possible.
9. Communicates regularly with the appropriate departments to maximize reimbursement effectiveness and efficiency of overall office function and performance.
10. Attends and participates in inter/intra departmental meetings as required. Routinely conducts team staff meetings and distributes minutes of meeting to staff and appropriate management including educational in services.
11. Attends billing Healthcare training seminars.

Standard Supervisor Level Responsibilities:

1. Supervises assigned personnel including performance evaluations scheduling orientation and training. Makes recommendations on employee hires transfers promotions salary changes discipline terminations and similar actions. Resolves grievances and other personnel problems within position responsibilities.
2. Coordinates the assignment of tasks and helps resolve technical and operational problems. Evaluates the impact of solutions to ensure goals are achieved.
3. Provides effective direction guidance and leadership over the staff for effective teamwork and motivation and fosters the effective integration of efforts with systemwide initiatives.
4. Encourages and supports diverse views and approaches creating an environment of professionalism respect tolerance civility and acceptance toward all employees patients and visitors.
5. Integrates diversity into departmental objectives such as hiring promotions training vendor selections etc.
6. Participates in performance improvement initiatives and demonstrates the use of quality improvement in daily operations.
7. Ensures compliance with regulatory agencies such as Joint Commission DPH etc. Develops and maintains procedures necessary to meet regulatory requirements.
8. Ensures that department complies with hospital established policies quality assurance programs safety and infection control policies and procedures.
9. Ensures adequate equipment and supplies for department.
10. Develops and maintains established departmental policies procedures and objectives.
11. Ensures compliance to all health and safety regulations and requirements.
12. Performs similar or related duties as required or directed.

All responsibilities are essential job functions.

II. Position Qualifications:

License/Certification/Education:

Required:
1. Bachelors degree or equivalent experience in Healthcare industry.

Experience/Skill:
Required:
1. Three to five years of experience in the Healthcare industry with at least two years of responsibility for third party accounts receivable.
2. Two to three years of supervisory experience with demonstrated ability to provide direction and leadership to staff.
3. Excellent verbal written and interpersonal communication skills.
4. Comprehensive knowledge of third party regulatory guidelines CPT ICD and HCPCS coding and modifier assignment as it applies to billing and collections.
5. Experience with third party electronic and paper remittance process.
6. Demonstrated proficiency in use of PCs to include ability to perform spreadsheet and word processing applications.
7. Proven analytical research and evaluation skills required to make recommendations and implement operational improvement strategies as part of a cohesive team.

Unless certification licensure or registration is required an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.

Departmentspecific competencies including agespecific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.

III. Physical Demands and Environmental Conditions:

Work is considered sedentary. Position requires work indoors in a normal office environment.

All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability or protected veteran status.

Were striving to make respect a part of everything we do at UMass Memorial Health for our patients our community and each other. Our six Standards of Respect are: Acknowledge Listen Communicate Be Responsive Be a Team Player and Be Kind. If you share these Standards of Respect we hope you will join our team and help us make respect our standard for everyone every day.

As an equal opportunity and affirmative action employer UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race color religion gender sexual orientation national origin age disability gender identity and expression protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability please contact us at We will make every effort to respond to your request for disability assistance as soon as possible.