MedStar Health
Patient Accounts Specialist I – Medicaid
MedStar Health, Baltimore, Maryland, United States, 21276
About this Job:
General Summary of Position
IMedStar 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 get to enjoy a remote schedule working full time, Monday — Friday, day shift. We are specifically looking for a candidate that has critical‑thinking skills along with experience in facility claims follow‑up, researching and investigating claim denials and preparing or writing appeals to get claims paid. As a Patient Accounts Specialist on this team, you will be responsible for interpreting and evaluating appeals, following up with payers to assure timely turnaround for claims resolution and reimbursement, and interpreting explanations of benefits while having a clear understanding of payer methodology. The role works in a team environment.
More About the Medicaid Team – The Medicaid team is responsible for completing the following: up‑going on accounts where the patient has straight Medicaid. We work closely with advocacy, CFC and billing to ensure patients who receive retro‑eligible Medicaid are billed timely within the specific state requirements.
Primary Duties and Responsibilities
Attends training sessions and workshops offered, including but not limited to CPAT training bulletin review, etc. Attends and successfully completes required Continuing Education Units (CEU) for the PFS Training Program and completes annual mandatory training (SITEL) within the defined time frame.
Keeps abreast of regulatory and specific changes as they relate to billing requirements and payer‑specific follow up.
Maintains daily performance benchmarks as they apply to interpreting and evaluating appeals, including follow up with payers, completing coding report updates within the standard set in a timely manner to begin the daily workflow process, and is responsible for reconciling reports to SMS and other posted information.
Maintains departmental QA standard within an established error rate.
Meets team‑specific benchmark as it applies to completed tracking forms forwarded to the Operational Desk after completion on a daily basis ($10K > $20K AR15 > AR30 and AR45).
Minimal Qualifications Education
High School Diploma or GED required.
Experience
1–2 years experience in patient accounting, accounts receivable, or related healthcare field required, or an equivalent combination of experience and college education in accounting, finance or healthcare administration required.
Knowledge, Skills and Abilities
Detailed working knowledge and demonstrated proficiency in at least one specific payer’s application billing and/or collection process.
Basic working knowledge of UB04 and Explanation of Benefits (EOB).
Some knowledge of medical terminology and CPT/ICD‑9 coding.
Excellent communication, analytical, interpersonal and organizational skills.
Proficient use of hospital registration and/or billing systems, personal computers and Microsoft Excel and Word applications.
Ability to type 35 WPM.
This position has a hiring range of $18.33 – $31.61 per hour.
MedStar Health
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IMedStar 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 get to enjoy a remote schedule working full time, Monday — Friday, day shift. We are specifically looking for a candidate that has critical‑thinking skills along with experience in facility claims follow‑up, researching and investigating claim denials and preparing or writing appeals to get claims paid. As a Patient Accounts Specialist on this team, you will be responsible for interpreting and evaluating appeals, following up with payers to assure timely turnaround for claims resolution and reimbursement, and interpreting explanations of benefits while having a clear understanding of payer methodology. The role works in a team environment.
More About the Medicaid Team – The Medicaid team is responsible for completing the following: up‑going on accounts where the patient has straight Medicaid. We work closely with advocacy, CFC and billing to ensure patients who receive retro‑eligible Medicaid are billed timely within the specific state requirements.
Primary Duties and Responsibilities
Attends training sessions and workshops offered, including but not limited to CPAT training bulletin review, etc. Attends and successfully completes required Continuing Education Units (CEU) for the PFS Training Program and completes annual mandatory training (SITEL) within the defined time frame.
Keeps abreast of regulatory and specific changes as they relate to billing requirements and payer‑specific follow up.
Maintains daily performance benchmarks as they apply to interpreting and evaluating appeals, including follow up with payers, completing coding report updates within the standard set in a timely manner to begin the daily workflow process, and is responsible for reconciling reports to SMS and other posted information.
Maintains departmental QA standard within an established error rate.
Meets team‑specific benchmark as it applies to completed tracking forms forwarded to the Operational Desk after completion on a daily basis ($10K > $20K AR15 > AR30 and AR45).
Minimal Qualifications Education
High School Diploma or GED required.
Experience
1–2 years experience in patient accounting, accounts receivable, or related healthcare field required, or an equivalent combination of experience and college education in accounting, finance or healthcare administration required.
Knowledge, Skills and Abilities
Detailed working knowledge and demonstrated proficiency in at least one specific payer’s application billing and/or collection process.
Basic working knowledge of UB04 and Explanation of Benefits (EOB).
Some knowledge of medical terminology and CPT/ICD‑9 coding.
Excellent communication, analytical, interpersonal and organizational skills.
Proficient use of hospital registration and/or billing systems, personal computers and Microsoft Excel and Word applications.
Ability to type 35 WPM.
This position has a hiring range of $18.33 – $31.61 per hour.
MedStar Health
#J-18808-Ljbffr