Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account.

Exemption Status:

Non-Exempt

Schedule Details:

Friday, Monday, Thursday, Tuesday, Wednesday, Weekends - No Weekends Required

Scheduled Hours:

9:00 am - 5:00 pm

Shift:

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

Hours:

0

Cost Center:

24060 - 3145 Fitchburg Residency

Union:

SEIU - Service & Maintenance HealthAlliance Burbank

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 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. Greets visitors and/or patients for scheduled and/or urgent care appointments and procedures.  
2. Confirms and verifies patient demographic and insurance information.
3. May collect co-payments from patients upon arrival.
4. Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information. 
5. Assess patients’ needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area.
6. Receives and directs phone calls. 
7. Connects the patient’s call to the provider or responds to the patient and takes messages as directed. 
8. Schedules urgent care appointments as needed and directed by clinicians.
9. Schedules patients for treatment by multiple providers and treatment areas and arranges a variety of associated tests and procedures according to established guidelines and specific criteria. 
10. Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of clinical staff, as well as resources.
11. Ensures tests and procedural prep information is provided to patients verbally, mail, and/or by the patient portal as necessary.  
12. Collaborates with insurers to obtain patients’ prior authorizations for procedures and tests as needed.
13. Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and clinician referrals for treatment are obtained prior to patient visits.
14. Complies with referral management regulations.
15. Verifies eligibility for procedures or tests from various health care institutions.
16. Follows up to correct discrepancies. 
17. May facilitate patient prescription renewal matters, (via telephone, fax, and email), within scope of authority as directed by clinicians.  
18. Preps the patient’s information for clinicians for scheduled patient visits as needed.
19. Scrubs Patient Encounter information and submits electronically.
20. Reviews and audits billing discrepancy reports and researches errors for resolution as directed by office or clinical management. 
21. Maintains accurate and timely records, logs, charges, files, and other related information as required.
22. Performs a variety of related administrative and clerical duties, such as retrieving files distributing mail and other records, faxing, collating, data entry, and relaying messages to clinicians, residents, and staff.
23. May prepare special reports or spreadsheets for clinicians as requested.
24. Collects co-payments from patients for visits, maintains records or makes daily cash deposits from patient visits.
25. Calculates daily totals of co-payments received for submission to the second tier for co-payment reconciliation.  
26. Composes, or selects standard form letters for clinician’s response to routine inquiries and procedures, such as back-to-school authorizations.

II. Position Qualifications:

License/Certification/Education:
Required:
1. High School Diploma 

Preferred:
1. Associate's degree or higher

Experience/Skills:
Required:
1. Minimum one (1) year of related experience.  This requirement is waived if candidate has Associate’s or Bachelor’s degree.
2. Ability to use specialized applications software and computer systems
3. Necessitates individuals who are multifunctional and able to work under stressful situations
4. Exemplifies, professional behavior and excellent communication and human relations skills

Preferred:
1. Knowledge of business office procedures and medical terminology/procedures

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.