Billing Representative

MedStar Health is seeking an experienced Billing Representative to support the physicians’ billing revenue cycle activities for Primary Care and Medical Specialties.  Full time, Monday - Friday, 8am - 4:30pm EST schedule.   The ideal candidate will have at least two years of experience in medical billing.  

In this role, the selected candidate will coordinate and input services rendered by providers for multiple entities by researching, analyzing, documenting and reporting financial data to optimize billing and collection processes. Provides feedback on identified charge submission errors to reduce occurrences and maximize revenue retrieval.

MedStar Health is a great place to work and grow your career. We provide a supportive and inclusive work environment, comprehensive health and wellness benefits, generous paid time off, tuition assistance, retirement plans, and many other benefits focused on your wellbeing.

Primary Duties and Responsibilities

• Reviews encounter forms daily for completeness and correctness.
• Prepares and enters patient demographic information into the Practice Management system by following guidelines outlined in the collection policy manual to ensure maximum reimbursement from payors.
• Prepares and inputs patient charges into the Practice Management system by following procedures outlined in the Collection Policy Manual to ensure charges are entered within one to two days of date of service.
• Verifies completeness and accuracy of all claims prior to submission.
• Reviews and corrects registration and charge entry providing feedback on quality.
• Documents and reports issues/ backlogs affecting workflows in a timely manner.
• Reads and interprets insurance explanation of benefits.
• Processes and completes daily/ monthly reports in accordance with established procedures such as TES Edits Patient Keeper Impacted and Self-Pay Reports.
• Identifies problem billing patterns/ trends to ensure maximum reimbursement from payors.
• Resolves all correction requires accurately and timely.
• Researches, analyzes and documents financial practice and regulatory data and/or reports including but not limited to revenue analysis projects and practice trends which involve account research and information documentation in spreadsheet software formats.
• Identifies and reports on project issues to be worked on based upon research and analysis.
• Responds to and resolves routine problems and requests from practices other hospital departments and MPBS management and staff.
• Assumes other duties and responsibilities that are appropriate to the position and department.
• Demonstrates behavior consistent with Medstar Health mission vision goals objectives and patient care philosophy.
• Participates in meetings and on committees and represents the department and hospital in community outreach efforts. Participates in multi-disciplinary quality and service improvement teams.

Minimal Qualifications
Education

• High School Diploma or GED

Experience

• 2 years billing experience in a medical setting required 
• 1-2 years' experience in professional fee related revenue cycle functions (systems, billing, medical records, registration, finance) or an equivalent combination of education and experience required

Licenses and Certifications

• No special certification registration or licensure required

Knowledge Skills and Abilities

• Excellent organizational skills to manage multiple tasks in a timely manner.
• Proficient use of registration and/or billing systems.
• Ability to identify incorrect data and correct the same.
• Strong attention to detail including data analysis and procedure review.
• Ability to maintain an appropriate work pace.
• Ability to follow verbal and written instruction.
• Requires knowledge of basic medical terminology.
• Working knowledge of Microsoft Excel and basic computer skills.
• Effective oral and written communication skills.
• Demonstrated analytical and problem-solving skills.