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Accounts Receivable Specialist II
2 months ago
The University of Maryland Medical System (UMMS) is a distinguished academic private healthcare organization dedicated to providing compassionate, high-quality medical services while integrating discovery and innovation into everyday practice. Collaborating with the University of Maryland School of Medicine, School of Nursing, and the University of Maryland, Baltimore, UMMS is committed to training the next generation of healthcare professionals. As a comprehensive network of care, UMMS delivers 25% of all hospital services across diverse urban, suburban, and rural communities in Maryland.
Key Responsibilities
- Manage and oversee assigned receivables through designated work queues, aging reports, and special initiatives to meet departmental objectives by resolving outstanding account balances and minimizing uncompensated care.
- Address urgent receivable requirements, intricate accounts, and projects as directed by management.
- Establish and uphold financial references, including reimbursement guidelines, state and federal regulations, and payer-specific reimbursement policies.
- Collaborate with third-party insurers to maximize cash recovery and reduce outstanding receivables.
- Ensure accurate processing of pending insurance claims by interpreting payer responses, requesting adjustments at the account level, submitting appeals, and evaluating patient financial responsibilities.
- Identify and address breakdowns in processes affecting the revenue cycle to ensure effective account resolution.
Qualifications
- High School Diploma or equivalent (GED) required.
- A minimum of 3 years of experience in general collections or accounts receivable management.
Additional Information
All information will be maintained confidentially in accordance with EEO guidelines.
