General Summary of Position Ready for the next step in your Patient Accounting career? Job Summary: Provides guidance and assists staff with review and analysis of various reports in assigned area. In cooperation with Supervisor, identifies and analyzes errors to determine action needed for performance improvement. In conjunction with level II Insurance Specialists, assists in researching and addressing administrative customer service issues. Works with all team members to resolve multiple primary and secondary billing, collection, customer service issues with payers and patients. Primary Responsibilities * Researches and analyzes complex and escalated accounts to identify and complete appropriate steps needed for resolution including, but not limited to, the research and resolution of Medicare Exhaust, Coordination of Benefit conflicts, Recovery Audits, and MSP Verification. Recognizes, documents and communicates account and payer trends. Works in collaboration with all teams, payers and patients, utilizing resources to resolve multiple primary and secondary billing, collections, and customer service issues. * Maintains daily performance benchmarks pertaining to follow-up. Maintains departmental QA standards within standard error rate. * Processes and completes the daily billing of paper claims including timely communication back to the Billing Team as appropriate. Qualifications:
MedStar Health's Patient Financial Services team has an opening for a TEAM LEADER to join our Account Resolution Division (ARD).
The ARD Team is responsible for handling all Medicare Exhaust Claims, COB denials; and High dollar accounts exceeding $100K account charge at the time of billing for Maryland facilities and $500K reimbursement for DC facilities.
Full time, HYBRID schedule, working 4 days a week remotely and only 1 day in the office. Position does require on-site training (up to the first 90 days of employment) in our business office located in Nottingham, Maryland.
Why MedStar Health?
At MedStar Health, we understand that our ability to treat others well begins with how we treat each other. We work hard to foster an inclusive and positive environment where our associates feel valued, connected, and empowered. We live up to this promise through:
About MedStar Health
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.
MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations, and we comply with the federal, state and local laws governing each of those locations. MedStar Health makes all decisions regarding employment, including for example, hiring, transfer, promotion, compensation, benefit eligibility, discipline, and discharge without regard to any protected status, including race, color, creed, religion, national origin, citizenship status, sex, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, political affiliations, or any other characteristic protected by federal, state or local EO laws. If you receive an offer of employment, it is MedStar Health's policy to hire its employees on an at-will basis, which means you or MedStar Health may terminate this relationship at any time, for any reason.