Mar 10, 2023

Medical Biller / Accounts Receivable Specialist I ($1000 SIGN-ON OR REFERRAL BONUS)

  • umassmemorialhealthcare
  • Worcester, Massachusetts
(CPB) Certified Professional Biller

Job Description


Position at UMass Memorial Health Care

Everyone is a Caregiver At UMass Memorial Health Care, Everyone is a Caregiver regardless of title. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health care system of Central and Western Massachusetts, and a place where we can help you build the career you deserve. We are more than 14,000 employees, working together as one health care system. And everyone, in their own unique way, plays an important part, everyday. Requisition #: 202157
Title: Accounts Receivable Specialist I
Department: Professional Billing Central Billing Office (PBCBO)
Grade: ADM5
Posting Date: Feb 11, 2020
Shift: Days
Status: Non-Exempt
Union: SHARE
Hours: 40 hours
Shift Length: 8 hours
Location: UMass Memorial Health Care – 306 Belmont St, Worcester, MA


Position Summary:

Responsible for follow–up of complex claims for payment.

Major 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.

Position Qualifications:



High School Diploma required.



Three years of physician or medical billing experience required. Knowledge of regulations multiple major third party insurance carriers. Knowledge of billing and reimbursement requirements of Third Party Payors in the State of Massachusetts including ICD, CPT and HCPCS coding, modifier assignment as well as medical terminology. 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).

Standards of Respect:

Standards of Respect We’re striving to make respect a part of everything we do at UMass Memorial – for our patients and for each other. We’re expecting that our new caregivers practice our six Standards of Respect: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player, and Be Kind, to help us make respect a part of how we take care of business everyday.

As an equal opportunity and affirmative action employer, UMMHC recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at We will make every effort to respond to your request for disability assistance as soon as possible.