Patient Accounts Specialist - PHO Team Job Listing at MedStar Medical Group in Columbia, MD (Job ID req49467)

Description

General Summary of Position

MedStar Health is currently seeking an experienced Patient Accounts Specialist to join our Patient Accounting PHO team.  We are specifically looking for candidates that have experience with facility and/or physician billing, claims follow-up, researching claim denials and preparing/writing appeals to get claims paid. 

The Patient Accounting PHO (Physician Hospital Organization) Department works all commercial transplant and cardiac services for two MedStar Health hospitals located in Washington, DC.  The team does the billing as well as “follow up” on claims where no payment has been received or when only partial payment is received. The team issues written appeals for denials and completes reconciliation of payments.  The DC facilities work off a contract-based reimbursement system, team members are familiar with all the contracts for each payer for each facility.  

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. 

Primary Duties and Responsibilities

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 $18.33 - $31.61