MedStar Health
Patient Accounts Specialist I - Medicaid
MedStar Health, Baltimore, Maryland, United States, 21276
Overview
MedStar Health has an opportunity for a Patient Accounts Specialist to join the Patient Accounting Medicaid team. On-site training in Nottingham, Maryland is preferred. After training, associates may have a remote schedule working full time, Monday – Friday, day shift. We are specifically looking for a candidate with critical thinking skills and experience in facility claims follow-up, researching and appealing claim denials to obtain payment. As a Patient Accounts Specialist on this team, you will interpret and evaluate appeals, follow up with payers to ensure timely resolution and reimbursement, and interpret explanations of benefits. A clear understanding of payer methodology and the ability to work in a team environment are essential. More About the Medicaid Team: The Medicaid team follows accounts where the patient has straight Medicaid and works with advocacy, CFC, and billing to ensure retro-eligible Medicaid is billed timely within state requirements. Primary Duties And Responsibilities
Attends training sessions and workshops (including CPAT Training, bulletin review) and completes required Continuing Education Units (CEU) for the PFS Training Program. Completes annual mandatory training (SITEL) within the defined time frame. Keeps abreast of regulatory changes related to billing requirements and payer follow-up. Maintains daily performance benchmarks related to interpreting and evaluating appeals and follow-up with payers. Updates coding reports and reconciles posted information as part of the daily workflow. Maintains departmental QA standards within the established error rate. Meets team-specific benchmarks for tracking forms (>$10K, >$20K, AR15, AR30, AR45) and related metrics results forwarded to the Operational Desk. Meets team-specific benchmarks for PXPAID, Disputed Claims, credits (>$10K, >$20K). Minimum Qualifications
Education
High School Diploma, GED or equivalent required Experience
1-2 years of experience in patient accounting, accounts receivable or related healthcare field, or an equivalent combination of experience and college education in accounting, finance or healthcare administration required Knowledge, Skills, And Abilities
Detailed working knowledge and proficiency in at least one payer application billing and/or collection process. Basic working knowledge of UB04 and Explanation of Benefits (EOB). Some knowledge of medical terminology and CPT/ICD-10 coding. Excellent communication, analytical, interpersonal, and organizational skills. Proficient in hospital registration and/or billing systems and Microsoft Excel and Word. Ability to type 35 WPM. This position has a hiring range of $18.33 - $31.61. Seniority level
Entry level Employment type
Full-time Job function
Health Care Provider Industries
Hospitals and Health Care Baltimore, MD
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Salary ranges vary by role and experience.
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MedStar Health has an opportunity for a Patient Accounts Specialist to join the Patient Accounting Medicaid team. On-site training in Nottingham, Maryland is preferred. After training, associates may have a remote schedule working full time, Monday – Friday, day shift. We are specifically looking for a candidate with critical thinking skills and experience in facility claims follow-up, researching and appealing claim denials to obtain payment. As a Patient Accounts Specialist on this team, you will interpret and evaluate appeals, follow up with payers to ensure timely resolution and reimbursement, and interpret explanations of benefits. A clear understanding of payer methodology and the ability to work in a team environment are essential. More About the Medicaid Team: The Medicaid team follows accounts where the patient has straight Medicaid and works with advocacy, CFC, and billing to ensure retro-eligible Medicaid is billed timely within state requirements. Primary Duties And Responsibilities
Attends training sessions and workshops (including CPAT Training, bulletin review) and completes required Continuing Education Units (CEU) for the PFS Training Program. Completes annual mandatory training (SITEL) within the defined time frame. Keeps abreast of regulatory changes related to billing requirements and payer follow-up. Maintains daily performance benchmarks related to interpreting and evaluating appeals and follow-up with payers. Updates coding reports and reconciles posted information as part of the daily workflow. Maintains departmental QA standards within the established error rate. Meets team-specific benchmarks for tracking forms (>$10K, >$20K, AR15, AR30, AR45) and related metrics results forwarded to the Operational Desk. Meets team-specific benchmarks for PXPAID, Disputed Claims, credits (>$10K, >$20K). Minimum Qualifications
Education
High School Diploma, GED or equivalent required Experience
1-2 years of experience in patient accounting, accounts receivable or related healthcare field, or an equivalent combination of experience and college education in accounting, finance or healthcare administration required Knowledge, Skills, And Abilities
Detailed working knowledge and proficiency in at least one payer application billing and/or collection process. Basic working knowledge of UB04 and Explanation of Benefits (EOB). Some knowledge of medical terminology and CPT/ICD-10 coding. Excellent communication, analytical, interpersonal, and organizational skills. Proficient in hospital registration and/or billing systems and Microsoft Excel and Word. Ability to type 35 WPM. This position has a hiring range of $18.33 - $31.61. Seniority level
Entry level Employment type
Full-time Job function
Health Care Provider Industries
Hospitals and Health Care Baltimore, MD
—
Salary ranges vary by role and experience.
#J-18808-Ljbffr