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UMass Memorial Health · 1 day ago

AR Specialist 1

Worcester, MA

Full-time

Onsite

Entry Level

$19.74/hr - $30.80/hr

1+ years exp

UMass Memorial Health is a leading health system in Central Massachusetts, dedicated to exceptional patient care and academic excellence. The AR Specialist 1 is responsible for follow-up of complex claims for payment, reviewing rejections, calculating adjustments, and ensuring accurate data entry.

DiabetesEducationHealth CareHospitalMedicalPersonal Health

Responsibilities

Calls insurance companies and utilizes payor web-sites while working detailed reports to secure outstanding payments

Reviews rejections in assigned payors and plans 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 payor and plan changes to secondary insurers or responsible parties

Inputs missing data as required and corrects 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 all health and safety regulations and requirements

Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors

Maintains, regular, reliable, and predictable attendance

Performs other similar and related duties as required or directed

Qualification

Revenue Cycle knowledgeHealth care billing experienceCustomer ServiceExceptional communicationInterpersonal skills

Required

High School Diploma

Previous Revenue Cycle knowledge in one of the following areas including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party Reimbursement

Ability to perform assigned tasks efficiently and in timely manner

Ability to work collaboratively and effectively with people

Exceptional communication and interpersonal skills