UMass Memorial Medical Center · 4 days ago
Accounts Receivable Specialist II
United States
Full-time
Remote
Entry, Mid Level
$20.94/hr - $33.59/hr
2+ years expUMass Memorial Medical Center is a premier health system in Central Massachusetts, committed to exceptional patient care and academic excellence. The Accounts Receivable Specialist II is responsible for follow-up of complex surgical claims, coding, analyzing claims, and securing outstanding payments from insurance companies.
Health CareMedical
Responsibilities
Contacts insurance companies, while working detailed reports, to secure outstanding payments, i.e. telephone calls, websites, written appeals
Reviews complex rejections in assigned payors and plans to determine validity of rejections and take appropriate action to resolve
Monitors changes in reimbursement policies, including payor fee schedule reconciliation
Performs special projects as assigned by manager or supervisor defining problems, determining work sequence and summarizing findings
Calculates and posts adjustments based on third party reimbursement guidelines and contracts
Hours vary: 6 to 2:30pm, 6:to 3pm, 7 to 3:30pm, or 8 to 4:30pm
Qualification
Required
High School Diploma
Two years of previous Revenue Cycle knowledge including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party reimbursement
Knowledge of multiple third-party regulations, ICD, CPT and HCPCS coding and modifier assignment. Knowledge of billing and reimbursement practices/requirements of major third-party payors in Massachusetts
Knowledge of medical terminology, anatomy & physiology and disease process
Ability to organize and prioritize work to meet strict deadlines
Computer skills to include mainframe, PC applications and excel
Must be self-motivated, service oriented and have excellent communication skills (written and oral)
Preferred
Three years of physician or medical billing experience involving complex surgical/procedural/multidisciplinary specialties
Physician coding certification is desired
Benefits
This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.
Company
UMass Memorial Medical Center
Umass Memorial Medical Center is the clinical partner of UMass Medical School and the largest health care system in Central Massachusetts. It is a sub-organization of UMass Memorial Health Care.
10001+ employees
H1B Sponsorship
UMass Memorial Medical Center has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (13)
2024 (19)
2023 (10)
2022 (10)
2021 (12)
2020 (10)
Funding
Current Stage
Late StageLeadership Team
Bruce Whyte
Chief Technology Officer
Bart Metzger
Senior Vice President and Chief Human Resources Officer
Recent News
2025-12-11
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