Patient Accounts Specialist I - Billing

MedStar Health has an opportunity for a Patient Accounts Specialist to join the Billing team with MedStar's Patient Financial Services. As a Patient Accounts Specialist on the Billing team, you will be responsible for processing daily billing to include review and correction of daily edits to ensure that payments are met in a timely manner and that benchmarks are met. Ensures compliance with Federal regulations. Work must meet QA standards to ensure both departmental and Patient Financial Services benchmarks are met.  Full time position, Monday – Friday, 7am - 3:30pm schedule

For this position we are specifically looking for candidates who have experience with third-party billing and working electronic payer rejections.  Strong knowledge of UB04 and/or 1500 forms, the ability to read/interpret an explanation of benefits as well as proficiency in Microsoft Excel. 

Primary Duties:

·       Daily AM Renamer balancing and validation of the 837i and 837p.

·       Patient Accounts Specialist productivity

·       Electronic claim rejections 

·       Processing of paper claims with medical records/attachments

·       Daily Billing Reconciliation completion

·       Monitor and follow up on daily claim holds with weekly reconciliation.

·       Processing of daily interrupt processing of Centralize Coding and Revenue Control claim referrals

·       Processing of returned mail

·       Processing of assigned billing projects

Qualifications:

·       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