Patient Accounts Specialist I Job Listing at MedStar Medical Group in Baltimore, MD (Job ID req40789)

Description

MedStar Health has an opportunity for a Patient Accounts Specialist to join the Patient Accounting Non-Governmental Follow-up team with MedStar Patient Financial Services.  As a Patient Accounts Specialist on this team, you will be responsible for interpreting and evaluating 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.  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.  

About MedStar Patient Financial Services – Patient Accounting Non-Government Maryland Team:
The Non-Governmental Follow Up Department works all Commercial, HMO, MCO, Medicare Advantage and Workers' Comp payers for 7 MedStar Health hospitals located in Maryland.   The department completes follow-up on accounts that have been billed and either no payment has been received or when only partial payment is received.  The team is also responsible for submitting appeals and payment reconsiderations on denials and underpayments as necessary.

• 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-9/10 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.