Dir, PB Specialty Billing, No Response at UMass Memorial Health – Worcester, Massachusetts

Position Title: Dir, PB Specialty Billing, No Response

Location: Worcester, MA Worcester Business Center

Time Type: Full time

Remote Type: Remote Caregivers (Primarily Remote)

Job Category: Finance

Job Family: Revenue Cycle

Job Type: Regular

Req ID: R26100100-1

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:
Exempt

Hiring Range:
$0.00 - $0.00
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:
8-5

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

Hours:
40

Cost Center:
99940 - 5444 Professional Billing Admin

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.

The Director, PB Specialty Billing & No Response is a key leadership role within the Accounts Receivable department, responsible for overseeing specialty billing operations, managing no response accounts, facilitating new acquisitions, and executing strategic projects. This position ensures optimal performance and compliance across all assigned functions, driving efficiency and effectiveness in revenue cycle processes. This position reports directly to the AVP of Accounts Receivable and manages a team of specialty billing and no response staff.

I. Major Responsibilities:

Specialty Billing Management:

• Oversee and direct the specialty billing team, ensuring accurate and timely billing for all specialty services. Develop and implement best practices and procedures to maximize reimbursement and minimize denials.

No Response Oversight:

• Manage the identification, follow-up, and resolution of no response accounts. Coordinate with payers, providers, and internal teams to address outstanding claims and reduce aging accounts receivable.

New Acquisitions Integration:

• Lead and support the integration of newly acquired entities into the existing billing and accounts receivable processes. Develop transition plans, train staff, and ensure seamless onboarding and compliance with organizational standards.

Project Leadership:

• Initiate, plan, and execute strategic projects related to specialty billing, no response accounts, and revenue cycle improvements. Collaborate with cross-functional teams to achieve defined objectives and deliver measurable results.

Staff Management:

• Supervise, mentor, and evaluate assigned staff members. Set performance goals, conduct regular reviews, and provide professional development opportunities to foster a high-performing team environment.

Reporting & Analysis:

• Prepare and present regular reports on specialty billing, no response accounts, and acquisition integration outcomes. Analyze trends, identify areas for improvement, and recommend solutions to senior leadership.

Compliance & Quality Assurance:

• Ensure all billing and accounts receivable activities are conducted in accordance with applicable laws, regulations, and company policies. Monitor quality standards and implement corrective actions as needed.

Standard Management Level Responsibilities:

1. Directs and supervises assigned personnel including performance evaluations, scheduling, orientation, and training. Makes recommendations on employee hires, transfers, promotions, salary changes, discipline, terminations, and similar actions. Resolves grievances and other personnel problems within position responsibilities.

2. Develops and recommends the budgets for the areas managed. Manages activities to assure financial goals are met.

3. Coordinates the assignment of tasks and helps resolve technical and operational problems. Evaluates the impact of solutions to ensure goals are achieved.

4. Provides effective direction, guidance, and leadership over the staff for effective teamwork and motivation; and fosters the effective integration of efforts with system-wide initiatives.

5. Encourages and supports diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, respect, tolerance, civility and acceptance toward all employees, patients, and visitors.

6. Integrates diversity into departmental objectives, such as hiring, promotions, training, vendor selections, etc.

7. Participates in performance improvement initiatives and demonstrates the use of quality improvement in daily operations.

8. Ensures compliance with regulatory agencies such as Joint Commission, DPH (Department of Public Health), etc. Develops and maintains procedures necessary to meet regulatory requirements.

9. Ensures that department complies with hospital established policies, quality assurance programs, safety, and infection control policies and procedures.

10. Ensures adequate equipment and supplies for department.

11. Develops and maintains established departmental policies, procedures, and objectives.

12. Ensures compliance to all health and safety regulations and requirements.

13. Maintains, regular, reliable, and predictable attendance.

14. Performs similar or related duties as required or directed.

All responsibilities are essential job functions.

II. Position Qualifications:

License/Certification/Education:

Required:

Bachelor’s degree in Accounting, Finance, Business Administration, or related field

Preferred:

Master’s

Experience/Skills:

Required:

Minimum of 7 years of experience in accounts receivable, billing operations, or revenue cycle management, with at least 3 years in a supervisory or Director-level role.

Proven experience managing specialty billing and no response accounts.

Strong leadership, communication, and project management skills.

Ability to work collaboratively across departments and with external partners.

Proficiency in billing software and financial reporting tools.

Demonstrated problem-solving and analytical abilities.

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 required work in a fast-paced office setting, with occasional travel required for acquisitions and project implementation.

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.

About Us:

At UMass Memorial Health, everyone is a caregiver. No matter their responsibilities or title, every employee or "caregiver" fills an important role for our patients and their families every day. Who is a caregiver? It's not just the person who delivers the care. It's all the people who make it work ... and make it better. Caregivers give everything that helps patients heal, from expertise to extra attention. They give clean, comfortable rooms. Fast, accurate answers. And an easier, less stressful experience. They give warm, reassuring smiles, and helping hands. We are more than 16,000 employees, working together as one health system in a relentless pursuit of healing for our patients, our community and each other. And everyone, in their own unique way, plays an important part, every day.