Patient Accounts Specialist I Physicians' Billing Job Listing at MedStar Medical Group in Washington, DC (Job ID req26989)

Description

General Summary of Position

MedStar Physicians' Billing Services has an opening for an experienced Patient Accounts Specialist (Level I) to join our team and work remote from home! 

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.

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:  

• High School Diploma or GED required
• 2 years collection experience in medical billing operations required
• Experience and proficiency using an automated billing system, GE IDX and ETM experience preferred
• Knowledge of ICD9/10 and CPT4 coding as it relates to third party carrier reimbursement.
• Knowledge of federal, state and local legal and regulatory provisions that relate to collection activities.
• Knowledge of third party carrier operating procedures and practices -- particularly as they relate to levels and methods of reimbursement.
• Proven skill in defining problems, collecting data, interpreting billing information.
• Ability to examine documents for accuracy and completeness, to prepare records in accordance with detailed instructions.
• Excellent organizational and analytical skills that ensure successful and accurate completion of daily quota driven processing.

• Proficiency in use of computer and calculator.
• Effective verbal and written communication skills.

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:

• Strong emphasis on teamwork - our associates feel connected to each other and our mission as an organization. In return, our effective team environment generates positive patient outcomes and high associate satisfaction ratings that exceed the national benchmark.
• Strategic focus on equity, inclusion, & diversity - we are committed to equity for all people and communities. We continue to build a diverse and inclusive workplace where people feel a sense of belonging and the ability to contribute to equitable care delivery and improved community health outcomes at all levels of the organization.
• Comprehensive total rewards package - including competitive pay, generous paid time off, great health and wellness benefits, retirement savings, education assistance, and so much more.
• More career opportunities closer to home - as the largest healthcare provider in the Baltimore-Washington, D.C. region, there are countless opportunities to grow your career and fulfill your aspirations.

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.