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UMass Memorial Medical Group - Worcester, MA

Requisition #: 171220
Title: Medical Billing AR Specialist I
Department: Primary Care Pod AR
Grade: ADM5
Posting Date: Dec 14, 2016
Status: Non-Exempt
Shift: DAYS
Union: SHARE
Hours: 40
Shift Length: 8 hours
Location: UMass Memorial Medical Center – 306 Belmont St, Worcester, MA

UMass Memorial Medical Center is the region's trusted academic medical center, and part of the UMass Memorial Health Care system. We are committed to improving the health of people in Central Massachusetts through excellence in care, comprehensive health services, teaching and research.

Position Summary:

Responsible for follow-up of complex claims for payment.

Position Qualifications:

High School Diploma. Three years of physician or medical billing experience. Knowledge of regulations multiple major third party insurance carriers. Knowledge of billing and reimbursement requirements of Third Party Payors in the State of Massachusetts, as well as medical terminology. Ability to organize and prioritize work to meet strict deadlines. Computer skills to include mainframe and PC applications. Must be self-motivated, service oriented and have excellent communication skills (written and oral).

Major Responsibilities:

Calls insurance companies while working detailed reports to secure outstanding payments.
Reviews rejections in assigned financial status classifications (FSCs) 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 FSC changes to secondary insurers or responsible parties.

Inputs missing data as required, correcting registration and other errors as indicated.
Complies with established departmental policies, procedures, and objectives.

Attends variety of meetings, conferences, seminars as required or directed.

Demonstrates use of Quality Improvement in daily operations.

Complies with established departmental policies, procedures, and objectives.

Respects diverse views and approaches, and contributes in maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.

Attends variety of meetings, conferences, seminars as required or directed.

Demonstrates use of Quality Improvement in daily operations.

Complies with all health and safety regulations and requirements.

Performs other similar and related duties as required or directed.

All responsibilities are essential job functions. ... Learn More

About UMass Memorial Medical Group

Umass Memorial Medical Group has been categorized as Health Care : Health Care Services & Hospitals employer and has a rating of 3.1 / 5 out of a total count of 99 ratings

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