MelroseWakefield Healthcare is a coordinated system of hospitals, physician practices and community-based services providing care for communities throughout north suburban Boston. We are distinguished by the range of clinical care and services we provide locally for the continuum of care in clinical collaboration with Tufts Medical Center, as well as an affiliation with the Lawrence Memorial. Our focus is simple: a better approach to providing health care, we bring together top-quality primary, emergency and specialty care, locally. Everything you and your family need, right in your neighborhood to be your best healthy.MelroseWakefield Healthcare is a coordinated system of hospitals, physician practices and community-based services providing care for communities throughout north suburban Boston. We are distinguished by the range of clinical care and services we provide locally for the continuum of care in clinical collaboration with Tufts Medical Center, as well as an affiliation with the Lawrence Memorial. Our focus is simple: a better approach to providing health care, we bring together top-quality primary, emergency and specialty care, locally. Everything you and your family need,  

Under the direction of the Manager Patient Financial Services, the Level II individual will have attained a level of performance that is seen as a level II position in the department and responsible for identifying, researching and resolving complex denied insurance claims, providing expertise on Medicarel Insurance particularly Melrose Wakefield payment rules and regulations, having an in depth knowledge of coding as well as a variety of operational support to the Patient Accounts department using the Hospital Information System.  Excellent customer service skills, knowledge of third party billing requirements and effective communication skills will ensure this process is completed in a timely manner.  Equally important is the ability to manage multiple tasks, work independently with minimal processing errors.

Business skills normally acquired through the completion of a Bachelor’s degree in related field or equivalent.  Five to Seven+ years of experience as an Account Receivable Specialist II with commercial insurance and must exceed or meet most of the expectations of the Accounts Receivable Specialist II.  Maintains an accuracy rate of 98% or better.

Experience: Knowledge of insurance plan requirements, up to date on payor rules and regulations, medical terminology, CPT/HCPCS/ICD10 and PC knowledge

Exceptional customer service skills are critical. Good interpersonal, organizational communication skills; both verbal and written. Ability to prioritize and respond effectively to multiple and /or changing job expectations.

All your information will be kept confidential according to EEO guidelines.

AMERICANS WITH DISABILITIES STATEMENT:

Must be able to perform all essential functions of this position with reasonable accommodation if disabled.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed, as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. MelroseWakefield Healthcare reserves the right to modify position duties at any time, to reflect process improvements and business necessity.

COVID-19 POLICY:

Please note that effective October 1, 2021, as a condition of employment at MelroseWakefield, all employees and new hires must have received their complete dose of the COVID-19 vaccine, unless they have been granted an exemption.