Payment Processor
Payment Processor
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Are you a current UMass Memorial Health caregiver Apply now through Workday.
Exemption Status:
Non-ExemptSchedule Details:
Monday through FridayScheduled Hours:
any hours between 6:00am - 6:00pmShift:
1 - Day Shift 8 Hours (United States of America)Hours:
40Cost Center:
99940 - 5434 Claim Payment Posting Cash CtlUnion:
SHARE (State Healthcare and Research Employees)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 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 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.
Responsible for posting payments denials and capitation adjudication to patient invoices on the billing system for several or all payment classes including reconciliation for electronic remittances.I. Major Responsibilities:
1. Posts remittances received in the business office via lock box deposits. Identifies correct patient account/invoice and posts the payment and contractual adjustment (when appropriate).
2. Completes payment-posting process within 48 hours (2 business days) of receipt from the Cash Control Unit.
3. Communicates with accounts receivable staff regarding inappropriate denial codes that require further review via pre-appeal financial class policy for denial codes.
4. Reconciles payment batch posting to the remittance batch total provided by the Cash Control Unit.
5. Recommends procedural and/or system changes based on third party payment trends to Supervisor. Proficiency with remittance advices from all carriers required.
Standard Staffing Level Responsibilities:
1. Complies with established departmental policies procedures and objectives.
2. Attends variety of meetings conferences seminars as required or directed.
3. Demonstrates use of Quality Improvement in daily operations.
4. Complies with all health and safety regulations and requirements.
5. 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.
6. Maintains regular reliable and predictable attendance.
7. Performs other similar and related duties as required or directed.
8. All responsibilities are essential job functions.
All responsibilities are essential job functions.
II. Position Qualifications:
License/Certification/Education:
Required:
1. High School diploma
Experience/Skills:
Required:
1. Three years of experience in a medical/cash-processing environment required.
2. Knowledge of third party carrier remittances.
3. Computer skills including mainframe and PC applications.
4. Strong numeric keystroke skills required.
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.
Department-specific competencies including age-specific 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.
Employment Type
Full-Time
