Job summary
Patient Accounts Specialist I Physicians' BillingLocation: Remote in Baltimore, MDMinimum 2 years collection experience in medical billing operations
Job seniority: entry level
Responsibilities
• Performs accounts receivable follow-up/collection procedures to obtain timely reimbursement• Maintains contacts with third party carriers and communicates billing/reimbursement changes• Assists in evaluation of accounts receivable and participate in development of collection strategies• Assists in maintaining integrity of the accounts receivable system database• Collects and determines follow up needed on outstanding accounts receivable• Contacts insurance carriers directly to confirm receipt of claim(s)• Exemplifies Guest and Staff Relations standards in all activities• Follows appeal procedures for denied claims and reimbursement• Identifies patient/third party carrier complaints, resolves and communicates• Makes adjustment to patient accounts as necessary to facilitate timely reimbursement• Maintains collection follow-up notes utilizing GE IDXETM software• Monitors assigned accounts receivable categories until payments are received and posted• Obtains necessary billing/appeal information from provider/division/electronic record/billing contact/patient• Participates in educational/professional development activities• Provides supporting documentation at time of claim appeal to facilitate timely reimbursement• Reports status of delinquent accounts• Resolves billing issues if necessary• Sorts, distributes, and responds to incoming mail from insurance carriers• Uses support capabilities of accounts receivable billing system to obtain appropriate information and work product• Contributes to the achievement of established department goals and objectives• Participates in multidisciplinary quality and service improvement teams• Participates in meetings, serves on committees and represents the department and hospital/facility• Performs other duties as assigned
Requirements
• High School Diploma or GED required• 2 years collection experience in medical billing operations required• Experience and proficiency using an automated billing system, GE IDX and ETM experience preferred• Knowledge of ICD9/10 and CPT4 coding• Knowledge of federal, state and local legal and regulatory provisions• Proven skill in defining problems, collecting data, interpreting billing information• Excellent organizational and analytical skills• Proficiency in use of computer and calculator• Effective verbal and written communication skills
Benefits
• Full benefits package including paid time off, health/vision/dental insurance, short- & long-term disability, tuition reimbursement and the benefits of remote work capability
