Description
MedStar Health is looking for a Patient Accounts Specialist to join our team with the MedStar Physicians' Billing Services team! We are specifically looking for a candidate that has experience with facility and/or physician claims follow-up, researching claim denials and preparing/writing appeals to get claims paid.
Full time, remote position.
As a Patient Accounts Specialist, you will perform accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on insurance invoices for a portion of approximately one billion dollars of annual accounts receivable. Performs collection activity for assigned divisions, third party carriers and individual providers. Maintains contacts with third party carriers and communicates billing/reimbursement changes to management in timely manner. Assists in evaluation of accounts receivable and participate in development of collection strategies to decrease outstanding balances.
Join one of the largest healthcare systems in the Baltimore-Washington metro region, also recognized as one of the "Healthiest Maryland Businesses". Apply today and learn how MedStar Health can be your next great career move!
Primary Duties:
Assists in maintaining integrity of the accounts receivable system database by reviewing data input for completeness and accuracy - including updating account information and transferring charges to correct financial class. Collects and determines follow-up needed on outstanding accounts receivable with an invoice balance less than or equal to $3,000.
Contacts insurance carriers directly to confirm receipt of claim(s). Exemplifies Guest and Staff Relations standards in all activities in areas of service, resource utilization, high quality outcomes and effective communication. Follows appeal procedures for denied claims and reimbursement below contractual fee schedule.
Identifies patient/third party carrier complaints, resolves, and communicates these complaints to management. In accordance with operational policies and procedures, makes adjustment to patient accounts as necessary to facilitate timely reimbursement. Maintains collection follow-up notes utilizing the IDX software. Meets the Performance ETM Production quota set at 100% of the established quota.
Monitors assigned accounts receivable categories until payments are received and posted. Obtains necessary billing/appeal information from provider/division/electronic record/billing contact/patient to facilitate timely claim/appeal adjudication. Participates in educational/ professional development activities. Provides supporting documentation at time of claim appeal to facilitate timely reimbursement.
Reports on status of delinquent accounts. Resolves billing issues if necessary. Sorts, distributes, and responds to incoming mail from insurance carriers. Uses support capabilities of accounts receivable billing system to obtain appropriate information and work product.
Qualifications:
High School Diploma or GED.
2 years collection experience in medical billing operations required.
Some college preferred.
Experience and proficiency using an automated billing system, GE IDX and ETM experience preferred.
Consideration will be given to an appropriate combination of education/training and experience.
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