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UMass Memorial Medical Center · 5 months ago

PRE-BILLING & CLAIMS ASSOC I (DAYS)

Worcester, MA Worcester Business Center

Full-time

Hybrid

Entry Level

$19.10/hr - $30.14/hr

1+ years exp

UMass Memorial Medical Center is a leading health system in Central Massachusetts, dedicated to exceptional patient care and research. They are seeking a Pre-Billing & Claims Associate I to support the timely and accurate submission of claims, ensuring compliance with payer requirements and collaborating with team members to resolve claim issues.

Health CareMedical

H1B Sponsor Likely

Responsibilities

Prioritizes standards and guidelines to perform pre-billing and claims submission processes utilizing assigned work queues

Sorts, distributes and processes primary and secondary paper claims. Ensures appropriate attachments are included leveraging available technology if possible. Documents action taken as appropriate in the Hospital Billing revenue cycle management system

Submits electronic claims using the claims submission system in accordance with payer requirements

Resolves edits in the claim submission application

Uses provided reference material to troubleshoot edits and gain additional understanding of payer claim submission requirements

References payer websites as needed to acquire knowledge and understanding of appropriate follow up actions

Communicates and works with other team members collaboratively to understand and resolve claim edits and issues

Escalates trends and additional edits internally, to promote claim accuracy and quality applicable to Hospital Billing Revenue Cycle management system, claim submission system, and payor claims processing systems

Utilizes payer websites to identify claim submission requirements and communicate accordingly

Works specialty claims according to instruction and work with departments to resolve issues on a timely basis

Meets established productivity standards

Facilitates and promotes the sharing of knowledge and content throughout departments

Participates in cross training to optimize billing resources

Maintains and fosters an organized, clean, and safe work environment

Maintains a collaborative, team relationship with peers and colleagues in order to effectively contribute to the group’s achievement of goals and to help foster a positive work environment

Practices cost containment and fiscal responsibility through the efficient use of supplies, equipment, time, etc

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 experienceCommunication skillsInterpersonal skillsCollaborative work

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

Preferred

One or more years of experience in health care billing functions

Benefits

Signing bonus available

Company

UMass Memorial Medical Center

Umass Memorial Medical Center is the clinical partner of UMass Medical School and the largest health care system in Central Massachusetts. It is a sub-organization of UMass Memorial Health Care.

Founded in 1998

Worcester, Massachusetts, USA

10001+ employees

https://www.umassmemorialhealthcare.org

H1B Sponsorship

UMass Memorial Medical Center has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (13)

2024 (19)

2023 (10)

2022 (10)

2021 (12)

2020 (10)