Patient Accounts Specialist I Physicians' Billing

MedStar Health is looking for aPatient Accounts Specialistto join our team with the MedStar Physicians' Billing Services 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.
Full time, remote position.

As aPatient Accounts Specialist, you will perform accounts receivable follow-up/collection procedures to obtaintimelyreimbursement from third party carriers and other payment sources on insurance invoicesfor aportionofapproximatelyone billion dollars of annual accounts receivable. Performs collection activity for assigned divisions, third party carriers and individual providers. Maintains contacts with third party carriers andcommunicatesbilling/reimbursement changes to management intimelymanner.Assistsinevaluation ofaccounts receivable andparticipateindevelopment ofcollection strategies to decrease outstanding balances.

Join one of the largest healthcare systems in the Baltimore-Washington metro region, also recognized as one of the "Healthiest Maryland Businesses". Apply today and learn how MedStar Health can be your nextgreat careermove!

Primary Duties:

• Assistsinmaintainingintegrity of the accounts receivable system database by reviewing data input for completeness and accuracy - including updating account information and transferring charges to correct financial class. Collects anddetermines follow-upneeded on outstanding accounts receivable with an invoice balance less than or equal to $3,000.

• Contacts insurance carriers directly to confirm receipt of claim(s). Exemplifies Guest and Staff Relations standards in all activities in areas of service, resourceutilization, high quality outcomes and effective communication. Follows appeal procedures for denied claims and reimbursement below contractual fee schedule.

• Identifiespatient/third party carrier complaints,resolves,and communicates these complaints to management.In accordance withoperational policies and procedures, makes adjustment to patient accountsasnecessary tofacilitate timelyreimbursement. Maintains collection follow-up notesutilizing theIDXsoftware. Meets the Performance ETM Production quota set at 100% of the established quota.

• Monitors assigned accounts receivable categories until payments are received and posted. Obtains necessary billing/appeal information from provider/division/electronic record/billing contact/patient tofacilitate timelyclaim/appeal adjudication. Participates in educational/ professional development activities. Provides supporting documentation at time of claim appeal tofacilitate timelyreimbursement.

• Reports onstatus of delinquent accounts. Resolves billing issues if necessary. Sorts, distributes, and responds to incoming mail from insurance carriers. Uses support capabilities of accounts receivable billing system to obtainappropriate informationand work product.

Qualifications:

• High School Diploma or GED.

• 2 years collection experience in medical billing operations required.

• Some college preferred.

• Experience andproficiencyusing an automated billing system, GE IDX and ETM experience preferred.

• Consideration will be given toan appropriate combinationof education/training and experience.