Accounts Receivable Specialist I, Physician Billing.

UMass Memorial HealthUMass Memorial HealthWorcester, Massachusetts, United States
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Posted

10/3/2026

Employment

Full time

Range

$20 - $31/hr

Work style

Remote OK

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AI summary

Core responsibilities

The specialist is responsible for following up on complex medical claims and coordinating with insurance companies to secure outstanding payments. They also review claim rejections, calculate adjustments based on reimbursement guidelines, and correct registration or data errors.

Requirements overview

Candidates must have a high school diploma and previous experience in revenue cycle areas such as billing, coding, or patient access. Strong communication skills and the ability to work collaboratively in a healthcare environment are required.

Key skills

Revenue cycleMedical billingInsurance follow-upClaims processingData entryCommunicationInterpersonal skillsCustomer serviceFinancial assistanceCodingReimbursementProblem solving

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Education requirements

high school

About UMass Memorial Health

Industry

Hospitals and Health Care

Employees

10,950

Type

Nonprofit

Size

10,001+ employees

UMass Memorial Health is the health and wellness partner of the people of Central Massachusetts. Through pain and pandemics, our commitment to our communities never wanes. We use knowledge and innovation to create breakthrough medicine, to create jobs, and to make life better for those we serve. We are leaders in the training of physicians and those who work in every facet of health care. We make outstanding care accessible for all, regardless of ability to pay. We stand for quality, compassion, dignity, opportunity and fairness. And we are relentless in our pursuit of healing. UMass Memorial Health is the largest health care system in Central Massachusetts. We are the clinical partner of the University of Massachusetts Chan Medical School, with access to the latest technology, research and clinical trials. UMass Memorial Health: Locations in Central Massachusetts Our locations include: • UMass Memorial Medical Center (Worcester) • UMass Memorial Health – HealthAlliance-Clinton Hospital (Fitchburg, Clinton and Leominster) • UMass Memorial Health – Marlborough Hospital (Marlborough) • UMass Memorial Health - Harrington (Southbridge, Webster) • UMass Memorial Health - Milford Regional (Milford) • Community Healthlink (Worcester, Leominster) We have an affiliation with CareWell Urgent Care to provide regional urgent care services. Also, the UMass Memorial Medical Group provides high quality, low-cost outpatient surgery services at The Surgery Center in Shrewsbury. UMass Memorial Health Care by the numbers: 2,400 physicians on our active medical staff 3,000 registered nurses 20,000 total employees 1,200 beds in our hospitals

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Job categories

HealthcareFinance & AccountingAdministrativeCustomer Service & Support

Description

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $19.74 - $30.80 (based on a full time schedule of 40 hours per week). Please note that the final offer will vary based on scheduled hours. Compensation for part-time or reduced schedules will be prorated based on scheduled weekly hours, experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8 hrs shirft starting between 6am to 6pm Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5442 Primary Care Pod Ar Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for follow-up of complex claims for payment. $3,000 Sign On Bonus! (For All External Hires) A talent acquisition caregiver will provide more details during the interview process. I. Major Responsibilities: 1. Calls insurance companies and utilizes payor web-sites while working detailed reports to secure outstanding payments. 2. Reviews rejections in assigned payors and plans to determine validity of rejection and takes appropriate action to resolve the invoice. 3. Calculates and posts adjustments based on third party reimbursement guidelines and contracts. 4. Makes appropriate payor and plan changes to secondary insurers or responsible parties. 5. Inputs missing data as required and corrects registration and other errors as indicated. II. Position Qualifications: License/Certification/Education: Required: 1. High School Diploma Experience/Skills: Required: 1. 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. 2. Ability to perform assigned tasks efficiently and in timely manner. 3. Ability to work collaboratively and effectively with people. 4. Exceptional communication and interpersonal skills. Preferred: 1. One or more years of experience in health care billing functions. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health 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 talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.

Requirements

  • •Revenue cycle
  • •Medical billing
  • •Insurance follow-up
  • •Claims processing
  • •Data entry
  • •Communication
  • •Interpersonal skills
  • •Customer service
  • •Financial assistance
  • •Coding
  • •Reimbursement
  • •Problem solving

Benefits

  • •Signing bonus

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