MedStar Health
Patient Accounts Specialist I - Follow-up Team
MedStar Health, Baltimore, Maryland, United States, 21276
Patient Accounts Specialist I - Follow-up Team
MedStar Patient Financial Services Non-Government South Follow-up Team is seeking an experienced Patient Accounts Specialist to join our team. We are looking for a candidate with experience in facility and/or physician claims follow-up, researching claim denials, and preparing/writing appeals to get claims paid. The Non-Governmental Follow-Up South Department works with Commercial, HMO, MCO, Medicare Advantage, and Workers’ Comp payers for the two DC MedStar Health hospitals. The team follows up on accounts that have been billed with no payment or partial payment received. The team issues written appeals for denials. Each team member has a dedicated payer or group of payers and is cross-trained as needed. Job Summary: Interprets and evaluates appeals, follows up with payers to assure timely claims resolution and reimbursement. Must interpret explanation of benefits and have a clear understanding of payer methodology. Works in a team environment. Primary Duties And Responsibilities Contributes to department goals and objectives, adheres to policies and procedures, and complies with regulations. Keeps abreast of regulatory changes and billing requirements. Maintains daily performance benchmarks, completes coding report updates, and reconciles reports. Maintains departmental QA standard within established error rate. Meets team-specific benchmarks and participates in PFS workgroups and multi-disciplinary teams. Minimum Qualifications Education High School Diploma or GED required. Experience 1-2 years of experience in patient accounting, accounts receivable, or a related healthcare field required. Knowledge, Skills, And Abilities Detailed working knowledge of at least one specific payer’s application billing and/or collection process. Basic working knowledge of UB04 and Explanation of Benefits (EOB). Knowledge of medical terminology and CPT/ICD-10 coding. Excellent communication, analytical, interpersonal, and organizational skills. Proficient use of hospital registration and/or billing systems, personal computers, 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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MedStar Patient Financial Services Non-Government South Follow-up Team is seeking an experienced Patient Accounts Specialist to join our team. We are looking for a candidate with experience in facility and/or physician claims follow-up, researching claim denials, and preparing/writing appeals to get claims paid. The Non-Governmental Follow-Up South Department works with Commercial, HMO, MCO, Medicare Advantage, and Workers’ Comp payers for the two DC MedStar Health hospitals. The team follows up on accounts that have been billed with no payment or partial payment received. The team issues written appeals for denials. Each team member has a dedicated payer or group of payers and is cross-trained as needed. Job Summary: Interprets and evaluates appeals, follows up with payers to assure timely claims resolution and reimbursement. Must interpret explanation of benefits and have a clear understanding of payer methodology. Works in a team environment. Primary Duties And Responsibilities Contributes to department goals and objectives, adheres to policies and procedures, and complies with regulations. Keeps abreast of regulatory changes and billing requirements. Maintains daily performance benchmarks, completes coding report updates, and reconciles reports. Maintains departmental QA standard within established error rate. Meets team-specific benchmarks and participates in PFS workgroups and multi-disciplinary teams. Minimum Qualifications Education High School Diploma or GED required. Experience 1-2 years of experience in patient accounting, accounts receivable, or a related healthcare field required. Knowledge, Skills, And Abilities Detailed working knowledge of at least one specific payer’s application billing and/or collection process. Basic working knowledge of UB04 and Explanation of Benefits (EOB). Knowledge of medical terminology and CPT/ICD-10 coding. Excellent communication, analytical, interpersonal, and organizational skills. Proficient use of hospital registration and/or billing systems, personal computers, 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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