Schedule Details:

Scheduled Hours:

Shift:

Hours:

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

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 16,000 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.

I. Major Responsibilities:

1. Works with and provides functional oversight to Self-Pay Follow Up Representatives and Self-Pay Account Resolution Representatives.
2. Intercedes on complex and varied account issues related to disputed accounts, cosmetic accounts, settlements, victim of violent crime accounts, payment plans, bankruptcy, statement skip accounts, and estate accounts
3. Initiates collection activity on outstanding high dollar self pay balances and responds to and resolves complex account balances disputed by patients
4. Works accounts or special situations escalated by staff or upper management as required.
5. Works assigned system work queues within established protocols
6. Serves as liaison for all collection agency vendors and outsource vendors.
7. Troubleshoots bad debt file transmission issues, transfers accounts to bad debt after established approval process.
8. Processes all surcharge letters from the state, runs and maintains reports specific to self pay follow up and self-pay account resolution, submits ER bad debt evidence to the state, manages all Violence against Women Act (VAWA) accounts, and does any required follow up for Identity theft accounts
9. Communicates with other areas within the Revenue Cycle, clinics, physician offices, and insurance companies to resolve self pay balances.
10. Documents all actions taken in the relevant billing system.
11. Completes daily statistic summary reports/logs.
12. Responds to staff's daily inquiries regarding patient accounts.

Standard Lead Level Responsibilities:

1. Distributes and monitors the flow of work for an assigned group of employees. Provides training and technical assistance to employees within the assigned work area. Assists supervisor in assuring that assigned employees are provided with appropriate resources, materials, and methods. Provides recommendations to manager or supervisor for the most efficient utilization of assigned personnel. Relays work instruction from the supervisor.
2. Complies with established departmental policies, procedures, and objectives.
3. 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.
4. Assists and provides input and feedback on department processes
5. Attends variety of meetings, conferences, and seminars as required or directed.
6. Demonstrates use of quality improvement in daily operations.
7. Complies with all health and safety regulations and requirements.
8. Maintains, regular, reliable, and predictable attendance.
9. Performs other similar and related duties as required or directed.

All responsibilities are essential job functions.

II. Position Qualifications:

License/Certification/Education:
Required:
1. High School Diploma required, plus additional post-secondary courses in medical billing and medical terminology.

Experience/Skill:
Required:
1. Three years of relevant work experience.
2. Thorough knowledge of third party insurance and medical terminology.
3. Computer skills.
4. Demonstrated ability to deal effectively with the public, physicians, and others, both inside and outside of the organizations.

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.

Department-specific competencies, including age-specific competencies and their measurements, will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.

III. Physical Demands and Environmental Conditions:
Work is considered sedentary. Position requires work indoors in a normal office environment.

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.