Description
General Summary of Position
MedStar's Patient Financial Services BlueCross Team is currently seeking an experienced Patient Accounts Specialist to join our team. Candidates must have at least one year of related patient accounting follow-up experience (experience with facility claims follow-up, researching claim denials and preparing/writing appeals to get claims paid). Monday - Friday dayshift schedule working on-site at our business office located in Nottingham, Maryland.
About the BlueCross Team:
The BlueCross Team is responsible for AR follow-up for all CareFirst using the RCI tool for follow up. They are responsible for ensuring timely follow-up with CareFirst, submitting appeals as necessary and escalating accounts appropriately to ensure accounts do not age on the receivable. The team works closely with other internal PFS departments as well as directly with Provider Representatives at CareFirst to ensure timely resolution and payment.
Job Description: Interprets and evaluates appeals to include follow-up with payers to assure timely turn around for claims resolution and reimbursement. Must be able interpret explanation of benefits and have a clear understanding of payer methodology. Works in a team environment.
Primary Duties and Responsibilities
Minimum Qualifications
Education
- High School Diploma or GED equivalent required
Experience
- 1-2 years' experience in patient accounting, accounts receivable or related healthcare field required
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Knowledge, Skills, and Abilities
- Detailed working knowledge and demonstrated proficiency in at least one specific payers application billing and/or collection process.
- Requires basic working knowledge of UB04 and Explanation of Benefits (EOB).
- Requires some knowledge of medical terminology and CPT/ICD-10 coding.
- Excellent communication, analytical, interpersonal, and organizational skills.
- Proficient uses of hospital registration and/or billing systems and personal computers as well as Microsoft Excel and Word applications.
- Ability to type 35 WPM.
This position has a hiring range of $18.33 - $31.61
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