Accounts Receivable Follow-up Specialist Ii

2 weeks ago

Worcester, United States UMass Memorial Health Care Full time

Schedule Details:
Monday through Friday

Scheduled Hours:
8a-430p

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

Hours:
40

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 16,000 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 resolving outstanding no-response and post-appealed accounts receivables in the circumstance that balances have not been adjudicated and performing all related tasks.

Major Responsibilities:

- Using assigned work queues and prioritization standards, performs follow up on accounts that have not been initially adjudicated by the payer. Work queues assigned will be representative of complex analysis, escalation, and rapid resolution.
- Performs follow up on open receivables after appeal has been submitted by Denial Specialist and Payment variance specialist.
- Maintains current knowledge of payer response time.
- Responds to incoming inquiries from attorneys, payers, employers etc following all hospital and regulatory guidelines.
- Analyzes and researches accounts to determine root cause of open receivables to determine and execute the best approach for timely and accurate resolution.- Monday through Friday 8:00 - 4:30

Position Qualifications:
License/Certification/Education:
Required:

- A minimum of a High School diploma.

Experience/Skills:
Required:

- Two or more years of previous Revenue Cycle knowledge including experience in one of the following areas PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding or 3rd party Reimbursement.
- Knowledge of multiple third-party regulations
- Goal oriented with high standards for quality and performance.
- Ability to work collaboratively and effectively with people.
- Exceptional communication and interpersonal skills.

Preferred:

- Two or more years of experience in health care billing functions.
- Experience in accounts receivable follow-up process.

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.

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