Account Resolution Representative, 40hr Day

3 weeks ago

Worcester, United States UMass Memorial Health Care Full time

Exemption Status:
Non-Exempt

Schedule Details:
Monday through Friday

Scheduled Hours:
Mon - Fri 8am to 4:30pm

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

Hours:
40

Cost Center:
99940 - 5430 Patient Financial Services

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.

I. Major Responsibilities:
1. Resolve disputed self-pay account balances as identified on relevant follow-up work queues and reports.

2. Resolve self pay account balances that are eligible for a statement but a statement has not generated by accessing the statement skip work queue.

3. Analyze and research accounts to determine root cause of open receivables and determine and execute the best approach for rebilling and timely and accurate resolution (resubmission, adjustment, write-off, or transfer to patient for payment), particularly Disputed Patient Balance accounts, statement skip accounts, and Cosmetic accounts.

4. Corresponds with third party payers, hospital departments, physician offices and patients to obtain information required for account receivable resolution.

5. Initiates telephone calls to patients/guarantors and insurance companies regarding resolution of their self-pay balances.

6. Identify and report recurring trends in statement skip extension reports and disputed accounts and work with team to implement solutions to prevent future issues. Report root cause to other areas within the revenue cycle when applicable.

7. Utilizes internal and payor technology and resources to support account resolution activities.

8. Understands and utilizes financial counseling price estimates.

II. Position Qualifications:
High School diploma required. Three years of relevant work experience, preferably in patient account resolution. Thorough knowledge of third party insurance and medical terminology. Computer skills. Ability to work independently within established functional guidelines and withstand pressure that may arise when dealing with the public, physicians/clinic and staff.

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.

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.

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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