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Human Resources Specialist
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Clerk IV Position
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Amherst, Virginia, United States University of Massachusetts Full timeJob SummaryUnder the direction of the Assistant Director of Employee Relations & Wellness, the Clerk IV (Leaves Specialist) position is responsible for the execution of the Human Resources (HR) process for Family Medical Leave Act (FMLA)/leave requests, Workers' Compensation cases, requests for accommodations, and electronic personnel actions.Key...
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Clerk IV
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Amherst, United States University of Massachusetts Full timeClerk IV (Leaves Specialist) Job no: 524979 Work type: Staff Full Time Campus: UMass Amherst Department: FCS Admin Services Pay Grade: 13 Categories: Administrative & Office Support About UMass Amherst UMass Amherst, the Commonwealth's flagship campus, is a nationally ranked public research university offering a full range of undergraduate, graduate and...
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Clerk IV
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Amherst, United States University of Massachusetts Full timeClerk IV (Leaves Specialist) Job no: 524979 Work type: Staff Full Time Campus: UMass Amherst Department: FCS Admin Services Pay Grade: 13 Categories: Administrative & Office Support About UMass Amherst UMass Amherst, the Commonwealth's flagship campus, is a nationally ranked public research university offering a full range of undergraduate, graduate and...
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Clerk IV
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Clerk IV
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Clerk IV
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Clerk IV
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Amherst, United States UMass Amherst Full timeAbout UMass Amherst UMass Amherst, the Commonwealth's flagship campus, is a nationally ranked public research university offering a full range of undergraduate, graduate and professional degrees. The University sits on nearly 1,450-acres in the scenic Pioneer Valley of Western Massachusetts and offers a rich cultural environment in a bucolic setting close to...
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Clerk IV
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Customer Service Representative IV
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Clerk IV
1 week ago
Amherst, United States UMass Amherst Full timeAbout UMass Amherst UMass Amherst, the Commonwealth's flagship campus, is a nationally ranked public research university offering a full range of undergraduate, graduate and professional degrees. The University sits on nearly 1,450-acres in the scenic Pioneer Valley of Western Massachusetts, and offers a rich cultural environment in a bucolic setting close...
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Clerk IV
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Amherst, United States UMass Amherst Full timeJob Summary This position involves responsibility for fiscal management including purchasing, billing, and reimbursements for all Chemistry department accounts. Position under the direct supervision of the Business Manager with considerable flexibility to exercise judgment on day-to-day activities. Essential Functions Inform appropriate members...
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Clerk V
2 months ago
Amherst, United States UMass Amherst Full timeAbout UMass Amherst UMass Amherst, the Commonwealth's flagship campus, is a nationally ranked public research university offering a full range of undergraduate, graduate and professional degrees. The University sits on nearly 1,450-acres in the scenic Pioneer Valley of Western Massachusetts, and offers a rich cultural environment in a bucolic setting close...
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Clerk IV
2 months ago
Amherst, United States UMass Amherst Full timeAbout UMass Amherst UMass Amherst, the Commonwealth's flagship campus, is a nationally ranked public research university offering a full range of undergraduate, graduate and professional degrees. The University sits on nearly 1,450-acres in the scenic Pioneer Valley of Western Massachusetts and offers a rich cultural environment in a bucolic setting close...
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Human Resources Specialist
2 weeks ago
Amherst, Virginia, United States University of Massachusetts Full timeJob SummaryUnder the direction of the Assistant Director of Employee Relations & Wellness, the Clerk IV (Leaves Specialist) position is responsible for the execution of the Human Resources (HR) process for Family Medical Leave Act (FMLA)/leave requests, Workers' Compensation cases, requests for accommodations, and electronic personnel actions.Key...
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Clerical Coordinator
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Amherst, Virginia, United States University of Massachusetts Full timeJob SummaryWe are seeking a highly organized and detail-oriented individual to join our team as a Clerk IV in Conference Services. The successful candidate will be responsible for coordinating meeting and dining room space requests, supervising and performing meeting room scheduling, and providing pre-planning site tours to potential customers.Key...
Clerk IV
3 months ago
Job Summary
The Patient Benefit and Referral Specialist performs all functions related to the patient intake process at University Health Services (UHS) by interviewing patients, verifying eligibility electronically via multi-payer systems and entering or updating information in the practice manager in a timely manner and with a high degree of accuracy.
Essential Functions
Accurately performs functions related to the patient intake process by interviewing patients, verifying eligibility electronically via multi-payer systems and entering or update information in the practice manager. Provides pre-determination of benefits and educates and informs patients about their responsibilities including co-pays and coordination of benefits. Addresses electronic eligibility alerts and contacts patients whose insurances are inactive with advance notice to comply with the payer's timely filing requirements. Collaborates with the Billing and Coding Departments for maximizing reimbursement of services provided. Provides patients with courteous, friendly, fast, and efficient services. Maintains and demonstrates current knowledge of commercial insurances and requirements of plans accepted at UHS. Schedules and manages routine and walk-in appointments for a multidisciplinary practice, adhering to the guidelines set forth by the providers. Processes referrals and orders to specialist groups or outside imaging facilities. Additional consideration is required for a high-tech imaging request prior to the scheduling of a patient appointment. Reviews patient insurance plans to determine whether authorization is necessary, and if so, obtains authorization from the patient's primary care provider or insurance company to facilitate patient care in-house and at specialist groups outside of UHS and receives proper reimbursement from the patient's insurance plan. Manages incoming phone calls for all aspects of medical care, including appointments, prescription refills, test results and messages to providers. Prepares documentation and information pertinent to the patient's appointment. Processes incoming referrals from outside primary care providers to allow patients to continue care at UHS while on campus. Reviews transaction codes to generate daily reports to identify patients requiring approval from their primary care provider. Contacts primary care provider and sends pertinent notes to obtain authorization, and once authorization is received, enters it into the practice manager for accurate reimbursement. Uses and manages systems to facilitate patient care at UHS, such as the Text waiting system to alleviate patient wait times. Manages UHS ParkMobile system accurately to provide parking privileges to patients in the designated lot. Maintains patient confidentiality using current HIPAA guidelines.Other Functions
Tracks outgoing referrals for completion and compliance, compiles data and prepares reports on a monthly basis. Provides cross-coverage and back-up staffing support to other functions of the front-line staff, when needed. Participates in annual UHS training and monthly departmental meetings to improve the quality of service provided to patients. Performs other related duties as assigned.Minimum Qualifications (Knowledge, Skills, Abilities, Education, Experience, Certifications, Licensure)
Associate Degree from an accredited Medical Assistant Program or successful completion of certification as a Certified Medical Assistant, or High School Diploma and at least three (3) years' medical office experience. Prior experience with insurance verification, authorization, and predetermination. Good oral and written communication skills including telephone etiquette. Knowledge of insurance plans; ability to understand and communicate detailed and complex health plan information to clientele. Practice management and electronic health record (EHR) proficiency. Excellent customer service skills and the ability to de-escalate front line customer service challenges. Ability to effectively communicate with colleagues, the public and other UHS staff. Strong computer, typing and oral communication skills, including telephone customer service skills. Experience working with Microsoft Excel or similar software. Working knowledge of basic hospital/clinic practice management and medical terminology.Preferred Qualifications (Knowledge, Skills, Abilities, Education, Experience, Certifications, Licensure)
Experience in a multi-practice facility.
Physical Demands/Working Conditions
Typical health care clinic environment activity.
Additional Details
This position is designated as essential personnel.
Work Schedule
Monday - Friday, 8:00am – 4:30pm. 35-week minimum position.Salary Information
Grade 13
