MedStar Health Looking for Patient Accounts Specialist I -Medicare at Baltimore, MD  Full Time

JOB DESCRIPTION

MedStar’s Patient Financial Services 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.

This position is full time, Monday – Friday dayshift, working remotely after 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 of 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 Summary – To ensure timely payments, initiates follow-up on outstanding receivables by contacting Medicare or utilizing the on-line system. Work must meet QA standards to ensure that both departmental and PFS benchmarks are met.

Education

• High School Diploma or GED required. Experience
  • 1 year 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.
  • Detailed working knowledge and demonstrated proficiency in the Medicare billing and collection process to include understanding of FSS, and guidelines of Medicare as the secondary payer (MSP).
  • Requires basic working knowledge of UB04 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.
  • Attends training sessions and workshops offered, to include but not limited to, CPAT Training, bulletin review, etc. Attends and successfully completes required Continuing Education Units (CEU) for the PFS Training Program. Completes annual mandatory training (SITEL) within defined time frame.
  • 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 Medicare follow-up on outstanding receivables.
  • Maintains departmental QA standard within established error rate.
  • Meets team specific benchmark as it applies to PXPAID, Disputed Claims, >$10K, >$20K, and credits.
  • Participates in PFS workgroups, staff meetings and work events.
  • Performs other duties as assigned.