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
Credentialing Specialist/Coordinator
Family Health Center —Worcester, MA
- $26 - $28 an hour
- Part-time
- Remote
- Customer service
- Medical office experience
- Mid-level
Quick Apply
10d
AR Specialist
Oriol Health Care Inc —Holden, MA
- $32 - $37 an hour
- Full-time
- 5 years
- Computer literacy
- Mid-level
Quick Apply
Medical Collections Specialist
KabaFusion —Lexington, MA
- $22 - $26 an hour
- Full-time
- HIPAA
- Mid-level
- Office
- Paid holidays
- Disability insurance
Quick Apply
Revenue Cycle Specialist
Human Services Management Corporation —Milford, MA
- $23 - $26 an hour
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- Office
Quick Apply
Patient Service Specialist
Private Medical Office —Westford, MA
- $20 - $22 an hour
- Full-time
- Private practice
- Customer service
- Organizational skills
- Health savings account
- Disability insurance
Quick Apply
7d
Utilization Management Specialist
Elder Services of Worcester Area, Inc —Worcester, MA
- $48,262.50 - $49,276.50 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- Computer literacy
- Office
- Mileage reimbursement
- Paid holidays
Quick Apply
8d
Billing Specialist
Veterans Inc. —Shrewsbury, MA
- From $26.44 an hour
- Online Application
- HIPAA
- Research
- 3 years
- 403(b) matching
- Paid parental leave
Quick Apply
Physician Billing Specialist
Pediatrics at Newton Wellesley —Newton, MA
- $24 - $34 an hour
- Full-time
- Hybrid work
- Background check
- Private practice
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
Medical Billing Accounts Receivable (A/R) Follow -Up Specialist
Mass Lung & Allergy PC —Worcester, MA
- $23 - $25 an hour
- Full-time
- Hybrid work
- HIPAA
- Research
- Mid-level
Quick Apply
2d
Authorization Specialist
New England Life Care —Canton, MA
- $21 - $22 an hour
- Full-time
- Microsoft Word
- Microsoft Excel
- Customer service
- Disability insurance
- Health insurance
Quick Apply
Denials & Appeals Specialist
American Addiction Centers —Worcester, MA
- $25.62 - $34.61 an hour
- Addiction Medicine
- Adults
- Research
- Health insurance
- Dental insurance
9d
Senior Revenue Cycle and Accounts Receivable Specialist
Terra Fertility PLLC —Dedham, MA
- $35 - $45 an hour
- Finance
- Analysis skills
- Bachelor's degree
- Paid holidays
- Health insurance
Referral Coordinator
Mass Lung & Allergy PC —Worcester, MA
- $21 - $23 an hour
- Full-time
- Customer service
- Computer literacy
- Medical office experience
Quick Apply
Medical Assistant, Tri-River Health Center, 40 Hour, Days
UMass Memorial Health —Uxbridge, MA
- $20.60 - $31.94 an hour
- 8 hour shift
- BLS Certification
- High school diploma or GED
- Clinic
1d
Scheduling Specialist
RAYUS Radiology —Dedham, MA
- Temporary
- Bilingual
- Computer literacy
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Intake Specialist - Float, Adult Mental Health, Harrington Hospital - 40 hours, Various Shifts
UMass Memorial Health —Webster, MA
- $16.54 - $29.76 an hour
- 8 hour shift
- Spanish
- English
- High school diploma or GED
Patient Services Specialist (PRN)
Bookmark Medical —Brighton, MA
- $20 - $30 an hour
- PRN
- Administrative experience
- Communication skills
- Entry level
Quick Apply
Medical Assistant, Patient Serv Spec, 40 Hours
Boston Medical Center —Brighton, MA
- $17.79 - $25.00 an hour
- Full-time
- Microsoft Excel
- High school diploma or GED
- Communication skills
- Health insurance
- Dental insurance
Patient Services Specialist
Bookmark Medical —Brighton, MA
- $20 - $30 an hour
- Full-time
- Administrative experience
- Communication skills
- Entry level
- Health savings account
- Health insurance
Quick Apply

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authorization specialist jobs near westborough, ma

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

authorization specialist jobs in westborough, ma

Financial Clearance Specialist- REMOTE

Credentialing Specialist/Coordinator

AR Specialist

Medical Collections Specialist

Revenue Cycle Specialist

Patient Service Specialist

Utilization Management Specialist

Billing Specialist

Physician Billing Specialist

Medical Billing Accounts Receivable (A/R) Follow -Up Specialist

Authorization Specialist

Denials & Appeals Specialist

Senior Revenue Cycle and Accounts Receivable Specialist

Referral Coordinator

Medical Assistant, Tri-River Health Center, 40 Hour, Days

Scheduling Specialist

Intake Specialist - Float, Adult Mental Health, Harrington Hospital - 40 hours, Various Shifts

Patient Services Specialist (PRN)

Medical Assistant, Patient Serv Spec, 40 Hours

Patient Services Specialist

I want to receive the latest job alert for authorization specialist in westborough, ma

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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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