Patient Accounts Specialist I - Medicare Job Listing at MedStar Medical Group in Baltimore, MD (Job ID req50432)

Description

General Summary of Position

MedStar Health's Patient Accounting Medicare Team is currently seeking an experienced Patient Accounts Specialist to join our amazing team.  We are specifically looking for candidates who have experience with claims follow up and the ability to read/interpret an explanation of benefits.

Position requires on-site training in Nottingham, Maryland (up to the first 90-days).

More About the Medicare Team:  The Medicare Team is responsible for billing all Medicare claims, as well as the AR follow up. Medicare handles all their own claims from start to finish. We work closely with Novitas and with various internal PFS Departments to ensure claims are billed and paid timely and correctly. This requires us to stay current with all Medicare Federal Guidelines. We work our own credits and PX as well.

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

Keeps abreast of regulatory and specific changes as it relates to billing requirements and payer specific follow up.

Maintains daily performance benchmarks as it applies to interpreting and evaluating appeals to include follow up with payers. Completes coding report updates within the standard set in a timely manner to begin the daily workflow process. Responsible for reconciliation of reports to SMS and information that was posted.

Maintains departmental QA standard within 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

CUSTOM.PRIMARY.DUTIES.RESPONSIBILITIES.ADDENDUM

 

Minimum 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 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 $18.70 - $32.72

 

 Apply on company website