Medical Accounts Receivable Specialist

1 day ago

Baltimore, Maryland, United States Baltimore Medical System, Inc. Full time $45,000 - $70,000 per year

The Accounts Receivable (AR) Specialist is responsible for following up on third-party claims, correspondence, credits, and denials. Maximizes revenue by monitoring claims and remittances, filing appropriate appeals, and processing denied charges. The AR Specialist maintains strong working relationships with ancillaries and center staff in order to address any issues that will impact the processing of claims and/or our ability to collect for services rendered, ultimately, and maintains a positive working relationship with the payer representative to ensure problem resolution. Answers all billing calls from patients.

Schedule/Hours

Monday - Friday | 800 AM to 4:30 PM

Essential Functions:

  • Reviews accounts and maintains accurate documentation

  • Processes AR timely, focusing on unpaid claims in the appropriate buckets

  • Resubmits corrected claims when necessary and follows up on all correspondence

  • Ensures correct payments are being received. Submits appeals as needed

  • Generates refunds and requests refund letters for credits

  • Contact insurance companies with any questions or issues

  • Answer patient calls received through the billing line

  • Obtains credit card information for patient payments

  • High school diploma or GED.

  • Medical Billing & Coding Certificate from an accredited institution

  • A strong knowledge of the billing process and analyzing EOB's

  • 3 years of experience with ICD-10 coding, HCPCS, and CPT coding guidelines in order to identify trends, correct claims, and resubmit for payment.

  • Comprehensive knowledge of all the nuances of each payer regulation according to company contracts and FQHC regulations.

Baltimore Medical System (BMS) is a community-based, nonprofit organization that provides quality primary/outpatient care services in the Greater Baltimore area. BMS is the largest FQHC in Maryland, and we offer a variety of comprehensive primary and behavioral health services through five (5) community health centers and eight (8) school-based health centers. We offer a competitive salary based on experience and generous benefits (single and family) for employees working 30 or more hours per week, which include medical, dental, vision, a 403(b) retirement plan, paid time off, paid holidays, tuition assistance, and more.

  • Accounts Receivable Manager

    3 days ago

    Baltimore, Maryland, United States Erickson Senior Living Full time $80,000 - $85,000

    Location:Erickson Senior LivingWe are hiring an Accounts Receivable Manager who will be responsible for overseeing the pursuit of complete, accurate, and timely full revenue cycle processes for assigned skilled nursing facilities and ancillary business lines. This individual will be responsible for the daily management of staff in an effort to ensure the...

  • Patient Accounts Receivable Representative I

    5 days ago

    Baltimore, Maryland, United States University of Maryland Medical System Full time $19,500 - $27,310 per year

    Company DescriptionThe University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland,...

  • Accounts Payable Specialist

    5 days ago

    Baltimore, Maryland, United States Mercy Health Services (MD) Full time $21,980 - $36,000 per year

    Overview:Join Our Team at Mercy Medical Center – Now Hiring an Accounts Payable SpecialistMercy Medical Center is honored to be recognized by Newsweek as one of America's Most Trustworthy Companies for three consecutive years (2023–2025) and as one of America's Greatest Workplaces for Women in 2025. Additionally, we are proud to be a multi-time recipient...

  • TikTok Account Specialist

    5 days ago

    Baltimore, Maryland, United States Flywheel Full time

    About FlywheelFlywheel's suite of digital commerce solutions accelerate growth across all major digital marketplaces for the world's leading brands. We give clients access to near real-time performance measurement and improve sales, share, and profit. With teams across the Americas, Europe and APAC, we offer a career with real impact, endless growth...

  • Accountant

    3 days ago

    Baltimore, Maryland, United States Garrett Regional Medical Center Full time

    Welcome We're excited you're considering an opportunity with us To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position.This position performs wide range of financial functions to support WVU Medicine and the budget...

  • lpn specialist float or medical assistant specialist float

    18 hours ago

    Baltimore, Maryland, United States WATSON CLINIC LLP Full time

    THE IDEAL CANDIDATE NEED TO BE AN LPN OR A MEDICAL ASSISTANTEssential Functions· Identifies and evaluates patient needs by way of telephone triage.· Administers medication including injections; documents medication given or prescribed by ordering physician as required.· Identifies patient and family education needs and provides instruction.· Recognizes...

  • Global Client Account Services

    5 days ago

    Baltimore, Maryland, United States T. Rowe Price Full time $80,000 - $100,000 per year

    Requisition Number: Position Title:External Description:About the TeamThe Client Account Services (CAS) group is responsible for providing ongoing servicing for Institutional clients invested in separate accounts, sub advised, and proprietary TRP products. The group is accountable for leading, managing and influencing the execution of cross functional...

  • Clinical Research Specialist

    3 days ago

    Baltimore, Maryland, United States University of Maryland, Baltimore Full time $63,000 - $75,000

    The University of Maryland, Baltimore (UMB) Marlene & Stewart Greenebaum Comprehensive Cancer Center (UMGCCC) has an exciting opportunity for a full-time Clinical Research Specialist for the Solid Tumor research program. Following an extensive training program, the Clinical Research Specialist will be assigned a portfolio of cutting-edge novel therapeutic...

  • Sr Enterprise Account Executive

    3 days ago

    Baltimore, Maryland, United States ServiceNow Full time $142,650 - $212,000 per year

    Company DescriptionIt all started in sunny San Diego, California in 2004 when a visionary engineer, Fred Luddy, saw the potential to transform how we work. Fast forward to today — ServiceNow stands as a global market leader, bringing innovative AI-enhanced technology to over 8,100 customers, including 85% of the Fortune 500. Our intelligent cloud-based...

  • Junior Accountant, Accounts Payable

    5 days ago

    Baltimore, Maryland, United States The League For People with Disabilities Full time $60,000 - $62,000 per year

    Position: Junior Accountant, Accounts PayableDepartment: AdministrationReports to: VP, FinanceExempt/Non Exempt: $60,000 - $62,000 YearlySummary: Manage financial bookkeeping and data entry of the organization, to include full cycle accounts payable and reconciliations for the financial and accounting services for The League. Serve as backup for other...