General Summary of Position MedStarPhysicians' Billing Services has an opening for an experienced Patient Accounts Specialist(Level I) to join our team and work remote from home! Primary Duties and Responsibilities: * Assists in maintaining integrity of the accounts receivable system database by reviewing data input for completeness and accuracy - including updating account information and transferring charges to correct financial class. * Collects and determines follow up needed on outstanding accounts receivable with an invoice balance less than or equal to $3,000. * Follows appeal procedures for denied claims and reimbursement below contractual fee schedule. * Identifies patient/third party carrier complaints, resolves and communicates these complaints to management. * In accordance with operational policies and procedures, makes adjustment to patient accounts as necessary to facilitate timely reimbursement. * Maintains collection follow-up notes utilizing GE IDXETM software. * Meets the Performance ETM Production quota set at 100% of the established quota. * Monitors assigned accounts receivable categories until payments are received and posted. * Obtains necessary billing/appeal information from provider/division/electronic record/billing contact/patient to facilitate timely claim/appeal adjudication. * Provides supporting documentation at time of claim appeal to facilitate timely reimbursement. * Reports status of delinquent accounts. * Resolves billing issues if necessary. * Uses support capabilities of accounts receivable billing system to obtain appropriate information and work product. Qualifications:
To be successful, candidates must have a minimum of 2 years collection experience in medical billing operations. We are specifically looking for a candidate that has experience with facility and/or physician claims follow-up, researching claim denials and preparing/writing appeals to get claims paid.
Job Description:Performs accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on insurance invoice balances. Performs collection activity for assigned divisions, third party carriers and individual providers. Maintains contacts with third party carriers and communicate billing/reimbursement changes to management in timely manner. Assists in evaluation of accounts receivable and participate in development of collection strategies to decrease outstanding balances.
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.