Financial Clearance Specialist- REMOTE
UMass Memorial Health —Worcester, MA
- $17.43 - $31.37 an hour
- 8 hour shift
- Remote
- Customer service
- Medical office experience
- High school diploma or GED
Community Health Worker
Community Care Cooperative —Boston, MA
- $27.40 - $32.20 an hour
- Full-time
- Bilingual
- Hospital
- Mid-level
Quick Apply
Patient Navigator (Foster Care) - 40 hours, Days
UMass Memorial Health —Worcester, MA
- $22.24 - $40.04 an hour
- 8 hour shift
- Spanish
- English
- Mid-level
Member Support Specialist
Planet Fitness —Boston, MA
- $24 - $32 an hour
- Full-time
- Remote
- Hospitality
- Clean driving record
- Microsoft Excel
- Paid parental leave
- Employee stock purchase plan
5d
Community Wellness Advocate
Boston Medical Center —Boston, MA
- $22.84 - $31.97 an hour
- Full-time
- Spanish
- Microsoft Excel
- Microsoft Access
- Health insurance
- Dental insurance
Physician - DO / MD - Webster, MA - Great Pay, Great benefits, Schedule M-F 8:30 - 5:00 PM - Great Job!
Fallon Health —Webster, MA
- $275,000 - $310,000 a year
- 8 hour shift
- Medicine
- Surgery
- Urgent Care
- Flexible schedule
Licensed Independent Clinical Social Worker (LICSW)
Career Land Center, LLC —Boston, MA
- Full-time
- Master of Social Work
- Management
- Mid-level
Quick Apply
Psychiatric Nurse Practitioner
Career Land Center, LLC —Springfield, MA
- Full-time
- Nursing
- Psychiatry
- Mid-level
Quick Apply
Hospice Social Worker - $6,000 signing BONUS!!
Caring Hospice Services —Hingham, MA
- $40 - $41 an hour
- Full-time
- Licensed Clinical Social Worker
- Mid-level
- Travel
- Paid time off
Quick Apply
1d
Home Care, RN - Full Time
Linden Ponds by Erickson Senior Living —Hingham, MA
- $45 - $55 an hour
- Full-time
- 18 years or older
- Nursing
- Management
- Health insurance
- Dental insurance
10d
Wellness Nurse The Residence at Riverbend
LCB Senior Living, LLC —Ipswich, MA
- $38 - $41 an hour
- 12 hour shift
- Background check
- Nursing
- RN License
- Paid holidays
- Tuition reimbursement
Quick Apply
9d
Adult Cystic Fibrosis Dietitian
Boston Children's Hospital —Boston, MA
- $55,369.60 - $88,576.80 a year
- Mid-level
- Outpatient experience
- 3 years
- Health insurance
- Dental insurance
Youth Case Manager, Pittsfield, MA
Key Program, Inc. —Pittsfield, MA
- $24.50 an hour
- Weekends as needed
- Bilingual
- Residential
- Driver's License
- Paid holidays
- Health insurance
Quick Apply
Home Health Physical Therapist
Centerwell —Great Barrington, MA
- $102,300 - $140,800 a year
- Full-time
- CPR Certification
- Management
- BLS Certification
- Paid parental leave
- Paid holidays
Social Worker / MSW, Hospice
AccentCare, Inc. —Boston, MA
- $70,000 - $89,000 a year
- Full-time
- Master of Social Work
- Licensed Clinical Social Worker
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Case Worker II / Life Coach
The Home for Little Wanderers, Inc. —Roxbury, MA
- Computer literacy
- Adults
- Children
- 403(b) matching
- AD&D insurance
Home Health Physical Therapist-PRN
Centerwell —Pittsfield, MA
- $102,300 - $140,800 a year
- Part-time
- CPR Certification
- Management
- BLS Certification
- 401(k)
- Paid time off
Registered Dietitian
LifePath Inc. —Greenfield, MA
- $34 - $36 an hour
- Part-time
- Bilingual
- ServSafe
- HIPAA
- Dental insurance
- 401(k)
Quick Apply
Clinician (Family Services)
Old Colony YMCA —Fall River, MA
- $28.85 - $31.25 an hour
- Part-time
- Clean driving record
- Mid-level
- Master's degree
- Mileage reimbursement
- Health insurance
Quick Apply
Community Living Specialist 3 - CADC
VIABILITY, INC —Pittsfield, MA
- $26 - $28 an hour
- Weekends as needed
- Microsoft Outlook
- Computer literacy
- Adults
- Health savings account
- AD&D insurance
Quick Apply

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Financial Clearance Specialist- REMOTE

UMass Memorial Health -
Worcester, MA

Apply Now

Job Details

Full-time
$17.43 - $31.37 an hour

Qualifications

High school diploma or GED

Full Job Description

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

Hiring Range:

$17.43 - $31.37

Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations .

Schedule Details:

Monday through Friday

Scheduled Hours:

8:00 am to 4:30pm

Shift:

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

Hours:

Cost Center:

99940 - 5478 Financial Clearance

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.

Responsible for assessing and verifying patient information for scheduled for medical services. This requires verification of patient’s demographic, financial and insurance information. Collects co-pays, deductibles, coinsurances, and down payments. Provides estimates for services when appropriate. Receives and processes patient financial liability payments for current and past balances. The focus is to collect patient liabilities prior to service and to resolve any insurance and financial issues prior to services being rendered. Reschedules appointments when appropriate under the guidance of department leader. This position is the front line for customer service, pre-registration and access to care for scheduled services.

I. Major Responsibilities:
1. Initiates contact with insurance companies to obtain eligibility, gather accurate patient billing information, and performs collections with outstanding accounts receivable.
2. Accurately estimates the patient financial liability (copayments, deductibles, coinsurances, deposits, etc. via obtaining accurate demographic and financial information). Answers patient inquiries regarding their liability and able to explain the variables involved.
3. Receives and processes patient payments.
4. Ensures pre-certification authorization and or referral is in placement prior to service being rendered.
5. Appropriately referring patients to Financial Counselors or Business Office dependent on need of patient.
6. Reschedules appointments when requested by patient or, under advisement of department leader, when due to financial circumstances appointment requires postponement.
7. Enters clear, concise notes concerning financial clearance status in system based on communications.
8. Demonstrate knowledge and understanding of all job-related policies and procedures and adheres to and consistently applies the Financial Clearance Policy in all patient cases.
9. Assesses gaps in patient coverage to determine patient financial exposure prior to rendering service.
10. Consistently demonstrates ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
11. Performs other duties as assigned, or directed, to ensure smooth operation of the department/unit.

II. Position Qualifications:

License/Certification/Education:
Required:
1. Minimum High School Diploma, or G.E.D., business concentration preferred.
Preferred:

1. Associate degree, or higher, preferred.

Experience/Skills:
Required:
1. Four plus (4+) years of experience within a business office setting, hospital revenue cycle preferred, Physician office or collection agency.
2. Prior experience in a healthcare environment required.

Preferred:
1. Working knowledge of personal computers and business office applications preferred.
2. Familiarity with hospital computer systems is a plus.
3. Knowledge of third party collections and reimbursement preferred.

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:

On-the-job time is spent in the following physical activities:
1. Stand - 1/3
2. Walk - 1/3
3. Sit - 2/3
4. Talk or hear - 2/3
5. Uses hands to finger, handle or feel - 2/3

This job requires that weight be lifted, or force be exerted:
1. Up to 10 pounds - 1/3

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 [email protected]. We will make every effort to respond to your request for disability assistance as soon as possible.

Apply Now

Refine Your Search

community care worker jobs in massachusetts

Financial Clearance Specialist- REMOTE

Community Health Worker

Patient Navigator (Foster Care) - 40 hours, Days

Member Support Specialist

Community Wellness Advocate

Physician - DO / MD - Webster, MA - Great Pay, Great benefits, Schedule M-F 8:30 - 5:00 PM - Great Job!

Licensed Independent Clinical Social Worker (LICSW)

Psychiatric Nurse Practitioner

Hospice Social Worker - $6,000 signing BONUS!!

Home Care, RN - Full Time

Wellness Nurse The Residence at Riverbend

Adult Cystic Fibrosis Dietitian

Youth Case Manager, Pittsfield, MA

Home Health Physical Therapist

Social Worker / MSW, Hospice

Case Worker II / Life Coach

Home Health Physical Therapist-PRN

Registered Dietitian

Clinician (Family Services)

Community Living Specialist 3 - CADC

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

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