Patient Accounts Specialist

About this Job

General Summary of Position Med Star Health has an opportunity for a Patient Accounts Specialist to join the Patient Accounting Non-Gov Follow-up North team with Med Star Patient Financial Services. 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 to interpret explanation of benefits and have a clear understanding of payer methodology. Works in a team environment. 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.

About Med Star Patient Financial Services — Patient Accounting Non‑Government North Team:
Med Star Health has a department that works all Commercial, HMO, MCO, Medicare Advantage and Workers’ Comp payers for 7 Med Star 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.

• 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.

• High school graduation or equivalent.
• 1 year 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.
• Detailed working knowledge and demonstrated proficiency in multiple payers application billing and/or collection processes, including governmental and non‑governmental.
• Requires basic working knowledge of UB04 and/or 1500 and Explanation of Benefits (EOB).
• Requires some knowledge of medical terminology and CPT/ICD‑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 : USD $18.33 – USD $31.61 /Hr.

Med Star Health