MedStar Health

Not-for-profit health system delivering patient care

Accounts Receivable Representative - Medstar Ambulatory Services

Accounts Payable/ReceivablePosted on Nov 9

Full-timeColumbia, MD, USA$18.70 - $32.72 /hr

About the Job

Requirements

A high school diploma or GED is required.
Three to four years of experience in medical billing or collections, including knowledge of the medical collections process, is required.
One year of relevant education may substitute for one year of required work experience.
One year of relevant professional-level work experience may substitute for one year of required education.
Verbal and written communication skills are required.
The ability to plan, organize, and prioritize work responsibilities is required.
The ability to work in Microsoft Word and Excel is required.
Knowledge of carrier explanation-of-benefits documents, basic medical terminology, and CPT/ICD-10 coding is required.
Knowledge of applicable federal, state, and local laws, codes, and regulations related to patient billing and collection is required.

Responsibilities

Follow up thoroughly and promptly on patient accounts to ensure accurate accounts receivable reporting.
Follow up with insurance companies, third-party payers, and self-pay patients to ensure primary and secondary payer payments are accurate and timely.
Maintain contacts with payers and promptly communicate billing and reimbursement issues to management.
Participate in developing collection strategies to reduce outstanding accounts receivable.
Keep current with regulatory and payer-specific billing and follow-up changes, and communicate changes to management promptly.
Assist management with preparing monthly accounts receivable analyses for financial reviews with ambulatory surgery center management.
Meet monthly departmental key performance indicators for days in accounts receivable, open receivables, aged accounts receivable, cash collections, credit balances, and high-dollar accounts.
Provide training and technical assistance to employees as requested by management.
Distribute and monitor employee workflow and responsibilities to ensure timely accounts receivable follow-up.
Enter timely and accurate adjustments in the billing system, reconcile accounts, perform batch processing, and submit claims as applicable.
Prepare and submit appeals promptly in accordance with payer specifications.
Meet monthly productivity expectations for outstanding accounts receivable cases, with the goal of touching each account only once.
Enter comments in the billing system for each account worked, documenting completed work and follow-up notes.
Meet with management as needed to communicate needs or resources required to complete tasks successfully.

Desired Qualifications

An associate's degree or bachelor's degree is preferred.
Experience with surgery center billing is preferred.
Basic computer skills are preferred.

About the Job

This is a full-time, Monday–Friday, 8am - 4:30pm, position. Following successful completion of the 90-day probationary period, the position offers a hybrid work schedule: Monday & Friday: Remote & Tuesday–Thursday: On-site

Our business office is located in Columbia, Maryland.

General Summary of Position
Under the supervision of the Reimbursement Manager the representative will be responsible for thorough and timely patient account follow up to ensure accurate accounts receivable reporting. Follows up with insurance companies and/or third-party payers to ensure payments by primary and secondary payers and/or self-pay patients are accurate and timely. Maintains contacts with payers and communicates billing/reimbursement issues to management in a timely manner. Participates in development of collection strategies to decrease outstanding A/R. This role is a vital position in the revenue cycle process for Ambulatory Surgery Center surgical cases.

Primary Duties and Responsibilities

Keeps abreast of regulatory and specific changes as it relates to billing requirements and payer specific follow up communicating such changes to management timely.
Assists management in preparation of monthly accounts receivable analysis in preparation for financial review with ASC management.
Meets monthly departmental key performance indicators (KPIs) as it applies to days in A/R, open receivables, aged A/R, cash collections, credit balances and high dollar accounts.
Provides training and technical assistance to employees as requested by management.
Distributes and monitors workflow and responsibilities for employees to ensure timely follow up of accounts receivable.
Performs timely and accurate adjustments into billing system. Reconciles accounts and performs batch processing. Submits claims as applicable.
Prepares and submits appeals timely and in accordance with payer specificaitons.
Meets departmental productivity for number of outstanding A/R cases each month with the goal of only touching each account once.
Enters comments in the billing system for each account worked detailing any work completed or notes for follow up
Meets with management to communicate any needs or resources that are required for successfully completion of tasks as needed.

Minimal Qualifications
Education

High School Diploma or GED required
Associate's degree or Bachelor's degree preferred
One year of relevant education may be substituted for one year of required work experience.

Experience

3-4 years' experience in medical billing/collection with knowledge of medical collections process required
Surgery center billing preferred
One year of relevant professional-level work experience may be substituted for one year of required education.

Knowledge Skills and Abilities

Verbal and written communication skills. Basic computer skills preferred.
Demonstrated ability to plan, organize and prioritize work responsibilities.
Requires ability to work in Microsoft Word and Excel applications.
Knowledge of carrier EOBs (explanation of benefits) required as well as basic medical terminology and CPT/ICD-10 coding.
Knowledge of pertinent Federal, State and local laws, codes and regulations related to patient billing and collection

This position has a hiring range of

USD $18.70 - USD $32.72 /Hr.

About the Company

MedStar Health

Not-for-profit health system delivering patient care

MedStar Health is a not-for-profit health system serving Maryland and the Washington, D.C. region, with hospitals, ambulatory and urgent care centers, and a health research institute. It delivers medical care through a network of facilities and care teams, supported by ongoing education and research to inform everyday practice. It stands out through its Georgetown University academic partnership, large regional network, and emphasis on patient experience, education, and research. Its goal is to improve regional health by providing high-quality medical care and advancing medicine through education and clinical excellence.

Company size: 10,001+
Company stage: Grant
Total funding: $29M
Headquarters: Columbia, MD
Founded: 1999

Recently Posted Jobs

Explore more opportunities at MedStar Health

See more jobs