Accounts Receivable Specialist I
1 week ago
Company Overview
The University of Maryland Medical System (UMMS) is a distinguished academic private healthcare organization dedicated to providing compassionate, high-quality medical services while integrating innovation and research into patient care. Collaborating with the University of Maryland School of Medicine, School of Nursing, and University of Maryland, Baltimore, UMMS plays a pivotal role in training the next generation of healthcare professionals. With a robust network of care, UMMS delivers 25% of all hospital services across diverse communities in Maryland, encompassing urban, suburban, and rural areas. The system includes 11 hospitals, with the University of Maryland Medical Center serving as the flagship institution, alongside numerous urgent care centers and additional facilities across 13 counties.
Key Responsibilities
- Manage and oversee assigned receivables by utilizing work queues, aging reports, and special projects to meet departmental objectives through the resolution of outstanding account balances and minimizing uncompensated care.
- Engage with third-party insurers to maximize cash recovery and reduce outstanding receivables.
- Analyze financial references, including reimbursement guidelines, state and federal regulations, and payer-specific policies and procedures.
- Ensure accurate processing of pending insurance claims by interpreting responses from payers, requesting adjustments at the account level, submitting appeals and reconsiderations, assessing patient financial responsibility, and resolving denials and rejections of claims.
Qualifications
- High School Diploma or equivalent (GED) required.
- Minimum of 1 year of experience in general collections, accounts receivable management, or customer service.
Additional Information
All information will be maintained confidentially in accordance with EEO guidelines.
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