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Company: MedStar Medical Group
Location: MD
Career Level: Associate
Industries: Not specified
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Description

General Summary of Position
Performs various billing/cost accounting functions such as new contract implementation, sending monthly invoices, tracking billing statements, following-up on variance reports, and monitoring financial statements. May receive and post cash to correct study accounts.


Primary Duties and Responsibilities

  • Attends training sessions and workshops offered, to include but not limited to, Research Training, regulatory review, etc. Attends and successfully completes required Continuing Education Units (CEU) for the PFS Training Program. Completes annual mandatory training (SITEL) within defined time frame.
  • Contributes to the achievement of established department and Patient Financial Services goals and objectives, and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations. Achieves established flash report benchmarks.
  • Follows up on past due invoices/statements, monitoring and pursuing the collections of overdue payments from sponsors and escalating issues to Team Lead and/or MRI Manager. Maintains a standard rate of collections of thirty (30) days after invoicing (or statement generation) according to the payment terms outlined in individual contracts. Assists with the review and follow up of accounts on a weekly, quarterly and yearly basis. Uses Excel, Access and RMS to produce as-needed reports.
  • If Cash Commercial Contracts, follows up on unapplied cash and follows the refund process. Tracks outstanding cash issues, hold backs, and walk downs. Maintains a standard of report showing zero by the fifteenth (15th) day of the following month. If Cash Commercial Contracts, maintains reports for cash collections and recoveries.
  • Conducts weekly audits on payments posted and payment issue requests. Tracks invoice submission and follows up on past due invoices/statements. Monitors and pursues the collections of overdue payments from sponsors maintaining a standard rate of collections of thirty (30) days after invoicing (or statement generation) according to the payment terms outlined in individual contracts. Posts denials to appropriate accounts.
  • Handles inquires from sponsors, PIÆs, SCAÆs, and coordinators concerning charges on the invoices or statements. Provides disposition of disputed charges and researches prior items that are not reflected in account statements. Communicates with SCAÆs and coordinators regarding billing issues. Establishes daily communications or as appropriate with SCAÆs and coordinators regarding billing issues. Inputs new/updated information in the system. Documents all conversations and discussions into the comments section of RMS.
  • Maintains on-going knowledge of Federal and State regulations and other mandatory state billing forms and filing requirements. Responsible for adhering to all sponsor requirements as outlined in established contracts. Complies with Code of Conduct requirements.
  • Participates in monthly account reconciliation and account analysis within five (5) business days of the next month. Resolves issues identified in the reconciliation process within five (5) business days. Follows refund process as part of account reconciliation-issuing a check request to Accounts Payable with proper documentation.
  • Participates in multi-disciplinary quality and service improvement teams. Participates in meetings and on committees and represents the department and hospital in community outreach efforts.
  • Participates in PFS workgroups, staff meetings and work events.
  • Performs month end reconciliation procedures and collects corresponding reports. Verifies accuracy of reports (administrative operating summary, revenue, billing and cash, corrects all defaults and other discrepancies. Assists in the validation of the monthly reports.
  • Prepares invoices/statements for contracts according to sponsoring agency specifications using billing categories; Non-invoiced charges (study and participant level), Enrollment based charges (group and individual based), and Invoiced charges (study and participant level). Prepares worksheets necessary to summarize data from expenditure statements and handles reconciliation and follow up for team lead review. Maintains a minimum standard billing turn around time of 48 hours.
  • Processes miscellaneous invoices by the fifth (5th) business day of the following month. Forwards research related facility and professional list/1500 bills to SCAÆs. Follows invoicing process for Animal Lab and Pharmacy charges-report entitled Interdepartmental Charges is submitted to MRI billing requesting a charge to a study fund.
  • Communicates with SCAÆs and coordinators regarding cash posting issues as needed. Establishes communications daily or as appropriate. Handles inquires from sponsors, PIÆs, SCAÆs and coordinators concerning charges on the invoices or statements. Provides disposition of disputed charges and researches prior items that are not reflected in account statements.
  • Identifies operational issues in their area and recommends process improvements to the MRI Manager.
  • If applicable, processes and reconciles Lockbox items, posting cash payments to appropriate account. Ensures verification of the daily processing of cash against A/R, tracks variances, and reports discrepancies to MRI Manager.
    • CUSTOM.PRIMARY.DUTIES.RESPONSIBILITIES.ADDENDUM


     

    Minimum Qualifications
    Education

    • Bachelor's degree in Accounting, Business or Finance required

    Experience

    • 1-2 years 2 year equivalent experience in a public or private accounting environment, preferably with healthcare or multi-entity background. required

    Knowledge, Skills, and Abilities

    • Verbal and written communication and manual dexterity.
    • Strong customer service skills.
    • Proficient in Lotus, Excel, PowerPoint and Access.
    • Knowledge of Lawson Report Writer and Patient Accounting software helpful but not required.


    This position has a hiring range of $28.2 - $47.3

     


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