|
General Summary of Position
MedStar Health has an
opportunity for a Patient Accounts Specialist to join the Patient Accounting
Medicaid team.On-site training in Nottingham, Maryland is
required.After training, associates get to enjoy a remote schedule working
full time, Monday - Friday, day shift.
We are specifically
looking for a candidate that has critical thinking skills along with experience
in facility claims follow-up, researching/investigating claim denials and
preparing/writing appeals to get claims paid.
As a Patient Accounts
Specialist on this team, you will be responsible for interpreting and
evaluating appeals to include follow-up with payers to assure timely turn
around for claims resolution and reimbursement. Must be able interpret
explanation of benefits and have a clear understanding of payer methodology.
Works in a team environment.
More About the Medicaid
Team-The Medicaid team is responsible for completing the following
up on accounts where the patient has straight Medicaid. We work closely with
advocacy, CFC and billing to ensure patients who receive retro-eligible Medicaid
are billed timely within the specific state requirements. Primary Duties and Responsibilities
Attends training sessions and workshops offered, to include but not limited to, CPAT Training, bulletin 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.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.Meets team specific benchmark as it applies to PXPAID, Disputed Claims, >$10K, >$20K, and credits.
Minimum Qualifications
Education
- High School Diploma, GED or equivalent required
Experience
- 1-2 years Experience in patient accounting, accounts receivable or related healthcare field, or 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/IDC-9 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 - $31.61
|
MedStar Health
Jun 11, 2025