Accounts Receivable Specialist II

Worcester, MA - USA

Monthly Salary: $ 20 - 33

Posted on: 14 hours ago

Vacancies: 1 Vacancy

Job Summary

Are you a current UMass Memorial Health caregiver Apply now through Workday.

Exemption Status:

Non-Exempt

Hiring Range:

$20.94 - $33.59

Please note that the final offer may vary within this range based on a candidates experience skills qualifications and internal equity considerations.

Schedule Details:

Monday through Friday

Scheduled Hours:

6 to 2:30pm 6:to 3pm 7 to 3:30pm 8 to 4:30pm

Shift:

1 - Day Shift 8 Hours (United States of America)

Hours:

Cost Center:

99940 - 5454 Surgery Pod AR

Union:

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 follow-up of complex surgical/procedural/multidisciplinary specialty claims for payments including coding and analyzing claims and claim payments/rejections.

Major Responsibilities:

Contacts insurance companies while working detailed reports to secure outstanding payments i.e. telephone calls websites written appeals.
Reviews complex rejections in assigned payors and plans to determine validity of rejections and take appropriate action to resolve.
Monitors changes in reimbursement policies including payor fee schedule reconciliation.
Performs special projects as assigned by manager or supervisor defining problems determining work sequence and summarizing findings.
Calculates and posts adjustments based on third party reimbursement guidelines and contracts.
Hours vary: 6 to 2:30pm 6:to 3pm 7 to 3:30pm or 8 to 4:30pm

Position Qualifications:

License/Certification/Education:

Required:

High School Diploma

Experience/Skills:

Required:

Two years of previous Revenue Cycle knowledge including PFS Customer Service Cash Posting Financial Assistance Patient Access HIM/Coding and/or 3rdparty reimbursement.
Knowledge of multiple third-party regulations ICD CPT and HCPCS coding and modifier assignment. Knowledge of billing and reimbursement practices/requirements of major third-party payors in Massachusetts.
Knowledge of medical terminology anatomy& physiology and disease process.
Ability to organize and prioritize work to meet strict deadlines.
Computer skills to include mainframe PC applications and excel.
Must be self-motivated service oriented and have excellent communication skills (written and oral).
Physician coding certification is desired.

Preferred:

Three years of physician or medical billing experience involving complex surgical/procedural/multidisciplinary specialties.

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.

Required Experience:

Are you a current UMass Memorial Health caregiver Apply now through Workday.Exemption Status:Non-ExemptHiring Range:$20.94 - $33.59Please note that the final offer may vary within this range based on a candidates experience skills qualifications and internal equity considerations.Schedule Details:M...

Are you a current UMass Memorial Health caregiver Apply now through Workday.

Exemption Status:

Non-Exempt

Hiring Range:

$20.94 - $33.59

Please note that the final offer may vary within this range based on a candidates experience skills qualifications and internal equity considerations.

Schedule Details:

Monday through Friday

Scheduled Hours:

6 to 2:30pm 6:to 3pm 7 to 3:30pm 8 to 4:30pm

Shift:

1 - Day Shift 8 Hours (United States of America)

Hours:

Cost Center:

99940 - 5454 Surgery Pod AR

Union:

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

Responsible for follow-up of complex surgical/procedural/multidisciplinary specialty claims for payments including coding and analyzing claims and claim payments/rejections.

Major Responsibilities:

Contacts insurance companies while working detailed reports to secure outstanding payments i.e. telephone calls websites written appeals.
Reviews complex rejections in assigned payors and plans to determine validity of rejections and take appropriate action to resolve.
Monitors changes in reimbursement policies including payor fee schedule reconciliation.
Performs special projects as assigned by manager or supervisor defining problems determining work sequence and summarizing findings.
Calculates and posts adjustments based on third party reimbursement guidelines and contracts.
Hours vary: 6 to 2:30pm 6:to 3pm 7 to 3:30pm or 8 to 4:30pm

Position Qualifications:

License/Certification/Education:

Required:

High School Diploma

Experience/Skills:

Required:

Two years of previous Revenue Cycle knowledge including PFS Customer Service Cash Posting Financial Assistance Patient Access HIM/Coding and/or 3rdparty reimbursement.
Knowledge of multiple third-party regulations ICD CPT and HCPCS coding and modifier assignment. Knowledge of billing and reimbursement practices/requirements of major third-party payors in Massachusetts.
Knowledge of medical terminology anatomy& physiology and disease process.
Ability to organize and prioritize work to meet strict deadlines.
Computer skills to include mainframe PC applications and excel.
Must be self-motivated service oriented and have excellent communication skills (written and oral).
Physician coding certification is desired.

Preferred:

Three years of physician or medical billing experience involving complex surgical/procedural/multidisciplinary specialties.

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.