Description
General Summary of Position
MedStar's Patient Financial Services is currently seeking a Patient Accounts Specialist to join our Guarantor Team. Candidates must have at least one year of related patient accounting follow-up experience (experience with facility or physician claims follow-up, researching claim denials and preparing/writing appeals to get claims paid).
The Guarantor Team is responsible for the billing and follow up of claims for our guarantor population as well as the follow-up for the specialty insurance plans. The Guarantor Plans include a variety of payers such as Kidney Acquisition, National Kidney Registry, Catholic Charities and numerous state grants. The specialty plans include payers such as the Veterans Administration, Tricare and Policy and Fire Clinic. Claims are billed via UB04 or List Billing.
Job Summary
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.
Primary Duties and Responsibilities
Minimum Qualifications
Education
- High School Diploma or GED equivalent 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/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 $20.17 - $35.04
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