Patient Accounts Specialist I - Medicare Job Listing at MedStar Health in White Marsh, MD (Job ID 101356)

Description

About the Job

General Summary of Position

MedStar Health's Patient Accounting Medicare Team is currently seeking an experienced Patient Accounts Specialist to join our amazing team.  We are specifically looking for candidates who have experience with claims follow up and the ability to read/interpret an explanation of benefits.

Position requires on-site training in Nottingham, Maryland (up to the first 90-days).

More About the Medicare Team:  The Medicare Team is responsible for billing all Medicare claims, as well as the AR follow up. Medicare handles all their own claims from start to finish. We work closely with Novitas and with various internal PFS Departments to ensure claims are billed and paid timely and correctly. This requires us to stay current with all Medicare Federal Guidelines. We work our own credits and PX as well.

Job Description - Interprets and evaluates 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.
Education

• High School Diploma or GED required

Experience

• 1-2 years Experience in patient accounting accounts receivable or related healthcare field required, 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.