UMass Memorial Health · 1 day ago
Dir, PB Specialty Billing, No Response
Worcester, MA
Full-time
Onsite
Director/Executive
7+ years expUMass Memorial Health is a premier health system in Central Massachusetts, seeking a Director for PB Specialty Billing & No Response. This leadership role involves overseeing specialty billing operations, managing no response accounts, and executing strategic projects to drive efficiency in revenue cycle processes.
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Responsibilities
Oversee and direct the specialty billing team, ensuring accurate and timely billing for all specialty services. Develop and implement best practices and procedures to maximize reimbursement and minimize denials
Manage the identification, follow-up, and resolution of no response accounts. Coordinate with payers, providers, and internal teams to address outstanding claims and reduce aging accounts receivable
Lead and support the integration of newly acquired entities into the existing billing and accounts receivable processes. Develop transition plans, train staff, and ensure seamless onboarding and compliance with organizational standards
Initiate, plan, and execute strategic projects related to specialty billing, no response accounts, and revenue cycle improvements. Collaborate with cross-functional teams to achieve defined objectives and deliver measurable results
Supervise, mentor, and evaluate assigned staff members. Set performance goals, conduct regular reviews, and provide professional development opportunities to foster a high-performing team environment
Prepare and present regular reports on specialty billing, no response accounts, and acquisition integration outcomes. Analyze trends, identify areas for improvement, and recommend solutions to senior leadership
Ensure all billing and accounts receivable activities are conducted in accordance with applicable laws, regulations, and company policies. Monitor quality standards and implement corrective actions as needed
Directs and supervises assigned personnel including performance evaluations, scheduling, orientation, and training. Makes recommendations on employee hires, transfers, promotions, salary changes, discipline, terminations, and similar actions. Resolves grievances and other personnel problems within position responsibilities
Develops and recommends the budgets for the areas managed. Manages activities to assure financial goals are met
Coordinates the assignment of tasks and helps resolve technical and operational problems. Evaluates the impact of solutions to ensure goals are achieved
Provides effective direction, guidance, and leadership over the staff for effective teamwork and motivation; and fosters the effective integration of efforts with system-wide initiatives
Encourages and supports diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, respect, tolerance, civility and acceptance toward all employees, patients, and visitors
Integrates diversity into departmental objectives, such as hiring, promotions, training, vendor selections, etc
Participates in performance improvement initiatives and demonstrates the use of quality improvement in daily operations
Ensures compliance with regulatory agencies such as Joint Commission, DPH (Department of Public Health), etc. Develops and maintains procedures necessary to meet regulatory requirements
Ensures that department complies with hospital established policies, quality assurance programs, safety, and infection control policies and procedures
Ensures adequate equipment and supplies for department
Develops and maintains established departmental policies, procedures, and objectives
Ensures compliance to all health and safety regulations and requirements
Maintains, regular, reliable, and predictable attendance
Performs similar or related duties as required or directed
Qualification
Required
Bachelor's degree in Accounting, Finance, Business Administration, or related field
Minimum of 7 years of experience in accounts receivable, billing operations, or revenue cycle management, with at least 3 years in a supervisory or Director-level role
Proven experience managing specialty billing and no response accounts
Strong leadership, communication, and project management skills
Ability to work collaboratively across departments and with external partners
Proficiency in billing software and financial reporting tools
Demonstrated problem-solving and analytical abilities
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
Preferred
Master's
Benefits
This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.
Company
UMass Memorial Health
UMass Memorial Health is the health and wellness partner of the people of Central Massachusetts.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$4.7MKey Investors
Federal Emergency Management Agency
2022-12-01Grant· $4.7M
Leadership Team
Victoria L. McCandless
Senior Vice President, Chief of Staff, System CEO Communications Officer
Sergio Melgar
EVP & CFO
Recent News
2025-11-12
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