Patient Accounts Specialist I - Follow-Up Team

General Summary of Position

MedStar Patient Financial Services Non-Government South Follow-up Team is currently seeking an experienced Patient Accounts Specialist to join our amazing team.We are specifically looking for a candidate that has experience with facility and/or physician claims follow-up, researching claim denials and preparing/writing appeals to get claims paid.

Position is remote with full-time, flexible Monday - Friday, day shift schedule.

The Non-Governmental Follow-Up South Department works all Commercial, HMO, MCO, Medicare Advantage and Workers' Comp payers for the two DC MedStar Health hospitals.The team does "follow up" on accounts that have been billed and no payment has been received or when only partial payment is received. The team issues written appeals for denials.The DC facilities work off a contract-based reimbursement system, so all South team members are familiar with all the contracts for each payer for each facility.To make it more manageable, each team member has a dedicated payer or group of payers, depending on the volume that they work.Team members are cross trained as needed.

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.

Minimum Qualifications

Education

• High School Diploma, GED or 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/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