Patient Accounts Specialist

3 weeks ago


Baltimore, United States MedStar Medical Group Full time

General Summary of Position

MedStar Patient Financial Services Non-Government South Follow-up Team is currently seeking a Patient Accounts Specialist to join our amazing team. We are specifically looking for a candidate that has experience with reading and interpreting Explanation of Benefits (EOB) and releasing medical records.

Position is on-site in Nottingham, MD with a full-time, Monday – Friday, day shift schedule.

Job Summary – To accurately identify any payer denials and route them to the appropriate follow up desk; transfer any patient liability, post applicable allowances or adjustments; mails medical records. The purpose of this position is to accurately move monies where they belong.

The Non-Governmental Follow-Up South Department works all Commercial, HMO, MCO, Medicare Advantage and Workers' Comp payers for the two DC MedStar Health hospitals. The team does “follow up” on accounts that have been billed and no payment has been received or when only partial payment is received. The team issues written appeals for denials. The DC facilities work off a contract-based reimbursement system, so all South team members are familiar with all the contracts for each payer for each facility. To make it more manageable, each team member has a dedicated payer or group of payers, depending on the volume that they work. Team members are cross trained as needed.

Minimum Qualifications
Education

  • High School Diploma or GED equivalent required

Experience

  • 1-2 years' experience in patient accounting, accounts receivable or related healthcare field required or
  • An equivalent combination of experience and college education in accounting, finance or healthcare administration required

Knowledge, Skills, and Abilities

  • Detailed working knowledge and demonstrated proficiency in at least one specific payers application billing and/or collection process.
  • Requires basic working knowledge of UB04 and Explanation of Benefits (EOB).
  • Requires some knowledge of medical terminology and CPT/IDC-9 coding.
  • Excellent communication, analytical, interpersonal, and organizational skills.
  • Proficient uses of hospital registration and/or billing systems and personal computers as well as Microsoft Excel and Word applications.
  • Ability to type 35 WPM.


This position has a hiring range of $18.33 - $31.61



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