Accounts Receivable Specialist I

Are you a current UMass Memorial Health caregiver?

Exemption Status : Non-Exempt

Hiring Range : $19.74 - $30.80

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

Schedule Details : Monday through Friday

Scheduled Hours : 6 to 2 : 30pm, 6 : 30 to 3pm, 7 to 3 : 30pm, or 8 to 4 : 30 pm

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

Hours : 40

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 20,000 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 claims for payment.

Major Responsibilities :

• Calls insurance companies and utilizes payor web-sites 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.

Position Qualifications :

License / Certification / Education :

Required :

Experience / Skills :

Required :

Preferred :

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.

We're 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 talentacquisition@umassmemorial.org

We will make every effort to respond to your request for disability assistance as soon as possible.