Mar 10, 2023

Medical Biller / Lead 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 #: 201380
Title: Lead Accounts Receivable Specialist I
Department: Professional Billing Central Billing Office
Grade: ADM6
Posting Date: Jan 2, 2020
Shift: Days
Status: Non Exempt
Union: SHARE
Hours: 40 hours
Shift Length: 8 hours
Location: UMass Memorial Medical Health Care – 306 Belmont St, Worcester, MA


Position Summary:

Provides functional oversight to staff. Performs follow up of complex claims for payment, as well as auditing, coding and analyzing claims and claim payments.

Major Responsibilities:
  • Monitors changes in reimbursement policies, including payor fee schedule reconciliation.
  • Establishes, monitors, and maintains standards of quality, quantity, and functions performed by the staff.
  • Audits, codes, and analyzes third party reimbursements for revenue enhancement.
  • Performs special projects as assigned by manager or supervisor defining problems, determining work sequence and summarizing findings.
  • Distributes and monitors the flow of work for an assigned group of employees.

Position Qualifications:



High school diploma plus additional postsecondary courses in medical billing and medical terminology.



Three years of billing experience in a multispecialty physician billing environment. Knowledge of multiple third party insurance regulations. Knowledge of claims coding, ICD, CPT and HCPCS coding as well as modifier assignment. Knowledge of medical terminology, anatomy, physiology and disease process. Knowledge of billing and reimbursement requirements of thirdparty payors in Massachusetts. 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).

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.