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Exemption Status:

Non-Exempt

Hiring Range:

$20.94 - $29.27

(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:

8am to 4:30pm

Shift:

1 - Day Shift, 8 Hours (United States of America)

Hours:

40

Cost Center:

99940 - 5480 Financial Counseling

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.

Perform a variety of complex duties utilizing insurance and payor knowledge to generate estimates for the UMMH system. Collects patient liabilities prior to service and resolves any insurance and financial issues prior to services being rendered. Provides support to Financial Counseling.

I.    Major Responsibilities: 
1.    Prepares patient estimates for the UMMH system.
2.    Collaborates with estimate requests initiated by patients, clinics, physician offices and Financial Counseling.
3.    Escalates estimate and payment issues to management as they are identified.
4.    Schedules patient appointments with Financial Counseling.
5.    Assesses gaps in patient coverage to determine patient financial exposure prior to rendering service. 
6.    Verifies insurance eligibility and coverage utilizing available technologies, payor websites, or by phone contact with third party payors.
7.    Enters clear, concise notes concerning financial status in system based on communications.  
8.    Consistently applies the Financial Assistance and Credit & Collection Policy in all patient cases.  
9.    Performs updates and corrections to patient demographic and insurance information.
10.    Receives and processes patient payments.
11.    Proactively identifies opportunities for workflow improvements when working estimates.
12.    Knowledge of all aspects of Financial Counseling. 
13.    Consistently demonstrates ability to respond to changing situations in a flexible manner to meet current needs, such as reprioritizing work as necessary. 

Standard Staffing Level Responsibilities:  
1.    Complies with established departmental policies, procedures, and objectives.
2.    Attends variety of meetings, conferences, seminars as required or directed.
3.    Demonstrates use of Quality Improvement in daily operations.
4.    Complies with all health and safety regulations and requirements.
5.    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.
6.    Maintains, regular, reliable, and predictable attendance.
7.    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 or equivalent.
Preferred:
1.    Associates degree in business or healthcare-related field.
Experience/Skills:
Required:
1.    Strong intrapersonal and communication skills.
2.    English speaking, reading and writing skills.
Preferred:
1.    Previous estimation, authorization, insurance referral, and telephone customer service experience.
2.    Previous experience in a health care organization.
3.    Bilingual speaking, reading, and writing skills. 

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 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 i
 

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.