Patient Accounts Specialist - NRN Ambulatory Job Listing at MedStar Medical Group in Baltimore, MD (Job ID req37448)

Description

MedStar Patient Financial Services MNRN Follow-up team is currently seeking a Patient Accounts Specialist to join our amazing 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.   

The NRN Ambulatory – AR Follow-up Department performs the AR follow-up of all payers except Medicare for our therapy facilities. The AR Follow-up responsibility is inclusive of denial management and claim status processes to optimize cash collections. We work together with the clinical administration team to resolve technical and clinical denials.  We also work with our Cash and Billing team to solve issues and develop efficient internal processes. 

Job Summary - 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.

• High School Diploma or GED equivalent required

• 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

• 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.