Patient Commercial Insurance or Managed Care A/R Representative, Hybrid

1 month ago

Baltimore, United States University of Maryland Medical System Full time
Job DescriptionJob DescriptionCompany Description

This is a hybrid position requiring some onsite time in Hunt Valley.

The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women’s and children’s health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you’ll enjoy as a member of our team. 

Job Description

The ideal candidate will have experience with insurance follow up. 

Overview

Under general supervision this position supports the vision and mission for the University of Maryland Medical Systems, a multi-billion dollar, regional healthcare facility. Expectations include, but are not limited to, Insurance verification, evaluating financial responsibility of patients, updating accounts to a billable/collectible status, researching denials, claim rejections, and delays in reimbursement, utilizing all possible means to resolve accounts, which include contacting patients, insurance companies and other departments. Assists the department by organizing collection procedures and meeting performance goals while adhering to current laws and payer regulations and reducing uncompensated care.

Key Responsibilities

  • Works and maintains assigned receivables through work queues, age trail balance reports (ATB’s), and special projects to achieve established department goals through resolution of outstanding account balances and reduction of uncompensated care.
  • Works with third party insurances to obtain maximum level of cash to reduce receivable.
  • Reviews financial references, including guidelines for reimbursement, state and federal regulations, payer-specific reimbursement policies, procedures.
  • Ensures correct processing of outstanding insurance claims by: interpreting insurance payer responses, requesting account level adjustments, submitting appeals and claims reconsiderations, evaluating financial responsibility of patients, resolving insurance denials and claim rejections, performing insurance verification.

Knowledge, Skills and Abilities

  • Concern for quality and ability to identify errors and implement corrections.
  • Effective verbal and written communication skills are necessary in dealing with a variety of healthcare and finance professionals including senior management staff.
  • Ability to work effectively in a matrix work environment and to manage multiple deadline-driven tasks and projects.
  • Minimal knowledge or demonstrated ability to learn and understand HSCRC/CMS regulations, CPT (Current Procedural Terminology), and ICD-10 coding.
  • Ability to operate a personal computer is required.  Proficiency with the following applications is required:  MS Excel, MS Word, and PowerPoint.  MS Access, SAS, and Tableau is preferred.
  • Ability to handle confidential issues with integrity and discretion.
  • Ability to prioritize and manage work in a stressful environment.
Qualifications

  • High School Diploma or equivalent (GED)
  • 1 year of work experience in general collections, accounts receivable oversight or customer service required
  • Experience with Insurance verification, evaluating patients' financial responsibility, updating accounts to a billable/collectible status, researching denials, claim rejections, and delays in reimbursement, and utilizing all possible means to resolve accounts, including contacting patients, insurance companies and other departments preferred.


Additional Information

All your information will be kept confidential according to EEO guidelines.

  • Patient Care Assistant

    4 weeks ago

    Baltimore, Maryland, United States Centurion Managed Care Full time

    Job Overview Position Summary Centurion Managed Care is dedicated to delivering comprehensive healthcare solutions within correctional facilities. We are currently in search of a part-time Licensed Nursing Assistant (LNA) to become a valuable member of our team. The Licensed Nursing Assistant (Behavioral Health) plays a crucial role in providing...

  • Commercial Lines Account Manager

    4 months ago

    Baltimore, United States APR Full time

    Job DescriptionJob DescriptionJob Title: Commercial Lines Account Manager | Client Service Manager | CSRSalary: $75k- $90k base salaryLocation: Baltimore, MD | Hybrid (willing to consider fully remote for the right candidate)Job Overview:The Commercial Lines Account Manager serves a critical role in our organization, managing a diverse portfolio of...

  • Patient Care Assistant

    4 weeks ago

    Baltimore, Maryland, United States Patient First Full time

    Position: Patient Care Assistant (PCA)Location: Not specifiedEmployment Type: Full-timeRole Overview:The Patient Care Assistant (PCA) plays a vital role in supporting healthcare professionals and ensuring the well-being of patients. The responsibilities include, but are not limited to:Monitoring patients' vital signs and reporting any changes to the nursing...

  • Commercial Lines Insurance Specialist

    9 hours ago

    Baltimore, Maryland, United States WallStJobs Full time

    Job OverviewWallStJobs is seeking a skilled Commercial Lines Insurance Representative to join our team. As a key member of our insurance team, you will be responsible for managing a portfolio of commercial clients, ensuring their insurance needs are met with the most appropriate coverage.Key ResponsibilitiesDevelop and maintain strong relationships with...

  • Patient Accounts Receivable Representative I- Hybrid

    4 months ago

    Baltimore, United States University of Maryland Medical System Full time

    Job DescriptionJob DescriptionCompany DescriptionThis is a hybrid position requiring some onsite time in Hunt Valley.The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care,...

  • HVAC Sheet Metal Supervisor

    4 weeks ago

    Baltimore, Maryland, United States A & R Mechanical Full time

    Job OverviewA & R Mechanical, a reputable Mechanical Contracting Company specializing in both Commercial and Residential projects, is seeking skilled professionals for the position of Sheet Metal Supervisor. We are looking for individuals with extensive experience in managing HVAC projects.CompensationSupervisor: Competitive pay starting at $37+ based on...

  • Hybrid- Inside Sales Representative

    1 week ago

    Baltimore, United States Stericycle Full time

    Title: Hybrid- Inside Sales Representative Requisition Id: 35630 Job Function: Sales Career Area: Sales & Marketing Work Location: Bannockburn 1 - 2355 (CORP) About Us:Stericycle is a U.S. based business-to-business services company and leading provider of compliance-based solutions that protects people and brands, promotes health and well-being, and...

  • Commercial Insurance Producer

    3 weeks ago

    Baltimore, Maryland, United States The Jonus Group Full time

    About The Jonus GroupWe are a leading provider of commercial insurance solutions, dedicated to helping businesses navigate the complexities of risk management.Job SummaryWe are seeking a highly skilled Commercial Insurance Producer to join our team. As a key member of our commercial lines team, you will be responsible for managing a portfolio of commercial...

  • Commercial Liability Claims Supervisor

    4 weeks ago

    Baltimore, Maryland, United States KING'S INSURANCE STAFFING LLC Full time

    KING'S INSURANCE STAFFING LLC is looking for a dedicated Lead Specialist in Commercial Liability Claims to join our dynamic team. This role will be pivotal in managing a group of Commercial Claims Examiners who are responsible for addressing moderate to complex claims related to General Liability, Auto, Property, and Employment Practices Liability (EPL). Key...

  • Global Sales Manager/Senior Sales Manager

    3 weeks ago

    Baltimore, United States Atradius Trade Credit Insurance, Inc. Full time

    Operating in 50 countries worldwide, Atradius N.V. is a growing and dynamic company that offers Trade Credit insurance solutions for businesses operating both domestically and internationally. Through its US subsidiary, Atradius Trade Credit Insurance Inc, an opportunity exists for experienced professionals to join our Global Accounts Team in Hunt Valley,...

  • Revenue Cycle Specialist

    4 weeks ago

    Baltimore, United States Health Care for the Homeless Full time $47,388 - $59,235

    Revenue Cycle Specialist (Hybrid)Full Time Non-Exempt421 Fallsway, Baltimore, MD, USRequisition ID: 1752Salary Range:$47,388.00 To 59,235.00 AnnuallyOverview:  Revenue cycle specialist is an account receivables and billing expert who will perform necessary tasks for revenue cycle management including but not limited to claims management, A/R and denials...

  • Associate Attorney

    2 weeks ago

    Baltimore, United States LFP Associates Full time

    Associate Attorney - Business & Commercial Litigation, Healthcare & Regulatory Compliance Note: This position is a hybrid work schedule requiring attorneys to be at the Baltimore, MD office some of the time. About Our Client: Our client is a dynamic downtown law firm with a business and commercial litigation department that handles a broad range of legal...

  • Insurance Sales Representative

    2 weeks ago

    Baltimore, Maryland, United States American Senior Benefits Full time

    About American Senior BenefitsWe are a leading hybrid sales organization specializing in insurance sales, proudly representing over 220 top carriers. Our mission is to provide exceptional service to our clients, ensuring their needs are met with the best possible solutions.Our ValuesWe are driven by a passion for helping people and a commitment to doing the...

  • Commercial Insurance Account Executive

    3 weeks ago

    Baltimore, Maryland, United States The Jonus Group Full time

    Position Overview The Jonus Group is seeking a dedicated professional to join our team as a Commercial Insurance Account Executive. This role is essential in managing and nurturing client relationships while ensuring comprehensive insurance solutions are provided. Key Responsibilities: Possess in-depth knowledge of various insurance products and their...

  • Claims Field Representative

    1 week ago

    Baltimore, Maryland, United States The Cincinnati Insurance Companies Full time

    Make a Difference with a Career in InsuranceAt The Cincinnati Insurance Companies, we prioritize people and apply the Golden Rule to our daily operations. We're seeking exceptional individuals to join our talented team, where our service-oriented, ethical, knowledgeable, and caring associates are the heart of our vision to be the best company serving...

  • Commercial Roofing Project Manager

    2 days ago

    Baltimore, Maryland, United States Tremco Full time

    Job SummaryTremco is seeking a highly skilled and experienced Commercial Roofing Foreman to join our team. As a key member of our field operations team, you will be responsible for overseeing the daily activities of our roofing crew, ensuring projects are completed safely and efficiently, and maintaining high-quality standards.Key ResponsibilitiesConduct...

  • Commercial HVAC Technician

    2 days ago

    Baltimore, Maryland, United States Quick Servant Co., Inc. Full time

    Job Title: Commercial HVAC Installation TechnicianQuick Servant Company, Inc. is a leading provider of HVAC and refrigeration solutions for commercial and industrial clients located in Columbia, MD. We offer top competitive pay, full benefits, factory authorized training, no sales requirements, and dispatched directly from home.Job Responsibilities:Install,...

  • Claims Field Representative

    6 days ago

    Baltimore, Maryland, United States The Cincinnati Insurance Companies Full time

    Make a Difference with a Career in InsuranceAt The Cincinnati Insurance Companies, we prioritize people and apply the Golden Rule to our daily operations. We're seeking exceptional individuals to join our talented team, where our service-oriented, ethical, knowledgeable, and caring associates are the heart of our vision to be the best company serving...

  • Patient Service Representative

    4 months ago

    Baltimore, United States ZOLL LifeVest Full time

    Job DescriptionJob DescriptionPosition Title: Patient Service Representative (PSR)Remote independent contract worker positionCompetitive fee for serviceFlexibility – work around your scheduleLifesaving medical technologyThe Cardiac Management Solutions division of ZOLL Medical Corporation develops products to protect and manage cardiac patients, including...

  • Patient Care Technician

    4 months ago

    Baltimore, United States Medstar Full time

    General Summary of Position MedStar Health is looking for a Patient Care Technician to join our team! We are looking for someone with basic math knowledge, verbal / written communication skills, and basic computer skills.This person will function as a member of the patient-centered care team to provide direct patient care activities under the supervision...