PROFESSIONAL FEE AR SPECIALIST

Work set-up: 
Full Remote
Contract: 
Salary: 
21 - 21K yearly
Work from: 

Offer summary

Qualifications:

High School Diploma or GED required; Associate’s Degree preferred., At least three years of professional fee billing experience., Knowledge of collection laws, medical coding (CPT & ICD-9/10), and third-party billing guidelines., Strong communication skills and proficiency in PC applications like spreadsheets and word processing..

Key responsibilities:

  • Evaluate patients' financial responsibility and update accounts accordingly.
  • Coordinate with insurance companies and departments to maximize cash recovery.
  • Handle patient concerns professionally and provide timely responses.
  • Assist with training new staff and support collection procedures to reduce accounts receivable.

University of Maryland Medical System logo
University of Maryland Medical System XLarge https://www.umms.org/
10001 Employees
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Job description

Company Description

The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.

Job Description

General Summary

Under general supervision, evaluates financial responsibility of patients, updates accounts to a billablecollectible status, research all possible means to resolve accounts, contacts patients, insurance companies and other departments regarding financial reimbursement. Organizes collection procedures in accordance with current laws, serves as appropriator of patient accounts and prioritizes multiple collection tasks with the main objective to reduce uncompensated care.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

  • Responsible for defined accounts receivable. Accountable for reduction of Accounts Receivable equal to goals set by senior management.
  • Works with third party insurance and payer contracting department to obtain maximum level of cash to reduce receivable. Follows up with insurers to recover inaccurate payments.
  • Reviews accounts to ensure accuracy of billingcharging utilizing knowledge of precertification prior authorization procedures to validate account status. Resolves any problems with billing or handling of accounts.
  • Handles patient concerns with professionalism and excellent customer service skills. Relays any patient suggestions and complaints to immediate supervisor for consideration. Provides answers for patient’s questions in a reasonable response time.
  • Follows departmental guidelines for handling delinquent accounts receivable.
  • Utilizes compassionate care program appropriately.
  • Researches all avenues of funding for patients who exhibit financial need.
  • Works with the Medical Assistance Eligibility team to refer patients through the Medical Assistance process.
  • Gathers and records data for the purpose of enhancing and perfecting collection procedures.
  • Shares information with the team to improve the integrity of data.
  • Shares information with administrator to solve existing problems with systems or data and effectively promotes avoidance of future problems.
  • Effectively updates andor views data in all accessible systems.
  • Assists supervisor with new staff training
  • Accommodates all visitors with accurate information and professionalism.
  • Performs appeals process when appropriate.
  • Promotes accuracy among all accounts by thoroughly reviewing all transactions
  • Maintains a thorough understanding of financial references, including guidelines for reimbursement, state and federal regulations, payorspecific reimbursement policies, procedures and resource material references.
  • Notifies supervisor of problem accounts which may lead to significant financial loss.
  • Utilizes appropriate letters as necessary to promote communication to patients and insurers on a large scale
  • Works self pay Accounts Receivable, updating patient accounts with documentation of follow up activity, new demographic or insurance information on the patient account and in the production log within Resolute. Liaison with outside collection vendors. Handles all incoming and outgoing patient correspondence.

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Communication
  • Problem Solving
  • Customer Service
  • Professionalism
  • Teamwork

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