
Description
General Summary of Position
MedStar Health has an opportunity for a Team Leader to join the Patient Accounting Non-Gov Follow-up North team with MedStar Patient Financial Services. As a Team Leader, you will be responsible for providing guidance and assisting staff with review and analysis of various reports. In cooperation with Supervisor, identifies and analyzes errors to determine action needed for performance improvement. In conjunction with level II Insurance Specialists, assists in researching and addressing administrative customer service issues. Works with all team members to resolve multiple primary and secondary billing, collection, customer service issues with payers and patients.
About MedStar Patient Financial Services – Patient Accounting Non-Government North Team:
The Non-Governmental Follow Up North Department works all Commercial, HMO, MCO, Medicare Advantage and Workers' Comp payers for 7 MedStar Health hospitals located in Maryland. The department completes follow-up on accounts that have been billed and either no payment has been received or when only partial payment is received. The team is also responsible for submitting appeals and payment reconsiderations on denials and underpayments as necessary.
Primary Duties and Responsibilities
Minimum Qualifications
Education
- High School Diploma or GED required
- Associate's degree in healthcare preferred or courses in Accounting, Finance and Healthcare Administration preferred
- One year of relevant education may be substituted for one year of required work experience.
Experience
- 1-2 years experience in patient accounting in a hospital-based department (systems, billing, medical records, registration, finance) required
- Knowledge of medical terminology and payer billing
- Leadership experience preferred
- One year of relevant professional-level work experience may be substituted for one year of required education.
Licenses and Certifications
- Certified Revenue Cycle Specia - CRCSI within 1 Year required or Cert Revenue Cycle Prof-Instit - CRCP-I within 1 Year required or Cert Revenue Cycle Executive - CRCE-I within 1 Year required or Certified Compliance Technician- CCT within 1 Year required or Certified Revenue Integrity Professional- CRIP within 1 Year required or CHAM - Certified Healthcare Access Manager within 1 Year required or CHAA - Certified Healthcare Access Associate within 1 Year required or Hospital Presumptive Eligibility- HPE within 1 Year required or Cert Healthcare Fin Prof - CHFP within 1 Year required or Cert Revenue Cycle Rep - CRCR within 1 Year required
Knowledge, Skills, and Abilities
- Detailed working knowledge and demonstrated proficiency in the major (Medicare, Medicaid and Blue Cross) payer's application billing and/or collection process, with particular focus on billing specifications and contractual arrangements and/or multiple payer's insurance verification and pre-certification guidelines.
- Ability to resolve complex payer issues to completion, training individuals in the billing and collection processes.
- Excellent communication and interpersonal skills.
- Excellent organizational skills to manage multiple tasks in a timely manner.
- Proficient use of hospital registration and/or billing systems, and Microsoft Word and Excel software applications.
This position has a hiring range of $20.17 - $35.04
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