MedStar Medical Group Job - 50481241 | CareerArc
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Company: MedStar Medical Group
Location: Baltimore, MD
Career Level: Mid-Senior Level
Industries: Not specified

Description

General Summary of Position
Supervises and coordinates the daily activities of area of responsibility, in conjunction with Team Leader, to accomplish established monthly and quarterly financial and productivity goals. Establishes priorities, schedules, distributes work, and reassigns tasks as necessary. Provides team members with opportunities for learning, creativity, and personal growth. Works with all team members to resolve multiple primary and secondary billing, collection, and customer service issues with payers and patients.


Primary Duties and Responsibilities

  • Assists with the development of financial, operational and productivity targets. Supervises and effectively uses resources to achieve financial, operational, and customer service targets in conjunction with Team Leader.
  • Conducts formal performance reviews and provides feedback to team members in accordance with Human leader Resource Personnel Assessment guidelines. Orients new associates to department policies and procedures. Provides timely and appropriate counseling of personnel when they deviate from department standards. Evaluates all staff after ninety days of employment and annually thereafter. Works with staff in a timely manner to improve, track, and develop areas of poor performance.
  • Conducts monthly audits on accounts assigned. Identifies trends and/or problems and assists the leader with recommendations based on findings.
  • Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations.
  • Facilitates the identification of issues and solutions by team members. Works in conjunction with Director to resolve outstanding system, departmental, interdepartmental issues and concerns. Provides feedback to leader regarding significant and relative escalations.
  • Hires and retains appropriate and qualified personnel to perform the functions and services of the department. Demonstrates appropriate interviewing skills and knowledge of employment laws.
  • Manages the work of assigned staff. Supervises team members by empowering, coaching, answering questions, giving guidance, and leading by example. Provides team members with opportunities for learning, creativity and personal growth.
  • Monitors and evaluates the weekly reports and identify trends, problems or issues and assists leader with recommendations to improve the effectiveness.
  • Participates in multidisciplinary quality and service improvement teams. Participates in meetings and on committees and represents the department and hospital in community outreach efforts.
  • Supervises the day-to-day activities of assigned staff in conjunction with Team Leader to accomplish established goals. Establishes priorities, schedules, distributes work and reassigns tasks as necessary. Investigates, monitors and consults with Team Leader and makes recommendations to address untimely processing of reports and/or tasks.
  • Supervises the review and analysis of transactions and/or outstanding orders. Makes recommendations to, monitors and follows up with departments.
  • Accountable for securing information over the phone from patient or insurance company including precollection and preregistration on accounts.
  • Maintains ongoing knowledge of UB04, and other mandatory state billing forms and filing requirements. Monitors the ACD Line including reporting and assisting with answering the incoming calls as needed.
  • Monitors, investigates, and resolves outstanding accounts on reports, including Outpatient Exception, Alpha Discharges, Alpha Inpatient, Inpatient Insurance Verification Reports and Scheduled Surgical Cases. Ensures compliance with department standards. Consults with team members and makes recommendations to address untimely processing of accounts and/or tasks. Identifies actions needed for performance improvement. Reports and identifies any trending or problems to Manager weekly with suggested recommendations to improve the processing of accounts. Assists with working all reports that ensure that verification, preregistration and precollect for all accounts that we clear for are completed within the standard turnaround time.

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    Minimum Qualifications
    Education

    • High School Diploma, GED or equivalent required
    • Associate degree in healthcare and courses in Accounting, Finance and Healthcare Administration preferred

    Experience

    • 2 years experience in patient accounting or related field required, or an equivalent combination of education and experience required
    • 2 years successful leadership experience required
    • Knowledge of medical terminology and payer billing preferred

    Licenses and Certifications

    • CRCS-I (Certified Revenue Cycle Specialist) certification through AAHAM required, or CRCS-I certification within 1 year of hire date in role with an Associate degree required

    Knowledge, Skills, and Abilities

    • Detailed working knowledge and demonstrated proficiency in the major (Medicare, Medicaid and Blue Cross) payer's application billing and/or collection process, with particular focus on billing specifications and contractual arrangements and/or multiple payer's insurance verification and pre-certification guidelines.
    • Ability to resolve complex payer issues to completion, training individuals in the billing and collection processes.
    • Excellent leadership, communication and interpersonal skills.
    • Excellent organizational skills to manage multiple tasks in a timely manner.
    • Proficient use of hospital registration and/or billing systems, and Microsoft Word and Excel software applications.


    This position has a hiring range of $58,656 - $98,384

     


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