General Summary Of PositionMedStar’s Patient Financial Services BlueCross Team is currently seeking an experienced Patient Accounts Specialist to join our team. Candidates must have at least one year of related patient accounting follow-up experience (experience with facility claims follow-up, researching claim denials and preparing/writing appeals to get claims paid). Monday - Friday dayshift schedule. Remote position with required monthly on-site meetings and possible on-site rotation a few shifts per month.
About The BlueCross TeamThe BlueCross Team is responsible for AR follow-up for all CareFirst using the RCI tool for follow up. They are responsible for ensuring timely follow-up with CareFirst, submitting appeals as necessary and escalating accounts appropriately to ensure accounts do not age on the receivable. The team works closely with other internal PFS departments as well as directly with Provider Representatives at CareFirst to ensure timely resolution and payment.
Job Description: Interprets and evaluates appeals to include follow-up with payers to assure timely turn around for claims resolution and reimbursem*nt. Must be able interpret explanation of benefits and have a clear understanding of payer methodology. Works in a team environment.
Primary Duties And Responsibilities
Keeps abreast of regulatory and specific changes as it relates to billing requirements and payer specific follow up.
Maintains daily performance benchmarks as it applies to interpreting and evaluating appeals to include follow up with payers. Completes coding report updates within the standard set in a timely manner to begin the daily workflow process. Responsible for reconciliation of reports to SMS and information that was posted.
Maintains departmental QA standard within established error rate.
Meets team specific benchmark as it applies to completed Tracking Forms forwarded to the Operational Desk after completion on a daily basis, >$10K, >$20K, AR15, AR30, and AR45.
Minimum QualificationsEducation
High School Diploma or GED equivalent. required
Experience
1-2 years experience in patient accounting, accounts receivable or related healthcare field required
An equivalent combination of experience and college education in accounting, finance or healthcare administration required
Knowledge, Skills, And Abilities
Detailed working knowledge and demonstrated proficiency in at least one specific payers application billing and/or collection process.
Requires basic working knowledge of UB04 and Explanation of Benefits (EOB).
Requires some knowledge of medical terminology and CPT/ICD-9/10 coding.
Excellent communication, analytical, interpersonal, and organizational skills.
Proficient uses of hospital registration and/or billing systems and personal computers as well as Microsoft Excel and Word applications.
Ability to type 35 WPM.
This position has a hiring range of $18.33 - $29.96
Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at MedStar Health by 2x
See who you know
Get notified about new Patient Account Specialist jobs in Washington DC-Baltimore Area.
Introduction: My name is Jeremiah Abshire, I am a outstanding, kind, clever, hilarious, curious, hilarious, outstanding person who loves writing and wants to share my knowledge and understanding with you.
We notice you're using an ad blocker
Without advertising income, we can't keep making this site awesome for you.
