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Company: MedStar Medical Group
Location: Baltimore, MD
Career Level: Mid-Senior Level
Industries: Not specified

Description

General Summary of Position
Supervises payment posting associates. Ensures that contractual adjustments are applied in accordance with contracted payers. Works closely with MPBS management team to ensure successful billing. Directs and ensures timely and accurate identification, data entry and processing all payments to GE IDX billing system(as well as legacy billing systems during transitions). Manages processing of payments - including appropriate use of contractual adjustments ensuring all documentation is complete and in compliance with both MPBS policy and Internal Audit standard. Has authority to authorize transfer of funds between MedStar Health organizational units.


Primary Duties and Responsibilities

  • Authorizes transfer of funds from lock box to MPBS General Ledger, as well as transfer of funds to other entities such as Hospital.
  • Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations.
  • Develops and implements policies and procedures for payment posting -- including, but not limited to, proper use of payment codes, adjustment codes and ensures that staff follow correct procedures at all items.
  • Develops effective reports/methods of communicating key issues related to receipt of payments and nonpayments to Cash Processing Manager and to clinical departments as directed by Cash Processing Manager.
  • Develops innovative ways to monitor denial and low payment patterns and trends.
  • Develops relationships with third parties to optimize use of automated payment posting thereby increasing accuracy and reducing costs.
  • Enhances personal professional growth through development of and participation in educational programs, current literature, in-service meetings and workshops.
  • Ensures timely resolution of unidentified funds.
  • Exemplifies Guest and Associate Relations standards in all activities in areas of service, resource utilization, high quality outcomes and effective communication.
  • Participates as member of Operations management team to ensure optimal approach to all billing activities and overall success of MPBS.
  • Participates in educational/professional development activities.
  • Performs other duties as assigned. Assumes other duties and responsibilities that are appropriate to the position and area.
  • Reviews explanation of benefits on regular basis for identification of denials and under payments.
  • Supervises Payment Processing Representative, Senior Payment Processing Representative, and Staff Support Assistant to ensure timely and accurate entry of payments and all other payment related transactions -- including application of all appropriate contractual adjustments.

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    Minimum Qualifications
    Education

    • Bachelor's degree preferred
    • Consideration will be given to appropriate combination of education, training, and experience

    Experience

    • 5-7 years' of related experience with 2 years of supervisory or leadership experience required

    Knowledge, Skills, and Abilities

    • Advanced knowledge of GE IDX preferred.
    • Proficiency with spreadsheet software -- preferably Microsoft windows format.
    • Experience with virtual lockbox processing as well as electronic funds posting.
    • Understanding and proficiency with CPT, ICD-9/10, HCPCS and CDT-2 coding.
    • Exceptional interpersonal and customer service skills.
    • Exceptional organizational skills and ability to handle large volumes of paperwork.
    • Ability to work and thrive in a team oriented production and deadline driven work environment.


    This position has a hiring range of $58,656 - $98,384

     


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