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CalvertHealth System in Maryland is seeking an Accounts Receivable Representative I responsible for all patient account functions, including billing, collections, and follow-up in a timely and accurate manner.
The role requires 2-5 years in a healthcare business office, a high school diploma (2 years of college preferred), and strong knowledge of revenue cycle concepts, payer rules, and common claim forms (UB04, HCFA 1500).
Responsible for all patient account functions to include billing, collections, and follow up in a timely and accurate matter. Performs all duties of Accounts Receivable Representative I. Offers specialized billing and collection services for the Business Office Department for both governmental and non-governmental payers.
High School Diploma required, 2 years of college preferred.
None required
2-5 years of experience in a health care business office setting.
Maintains unit-specific and hospital competencies, mandatory learning, and any clinical certifications required in accordance with the Staff Education and Training policy GA-057 and/or any other department requirements.
Demonstrated use of computer skills to include Windows and Microsoft Office.
Extensive knowledge of insurance plans, coverage types, and medical terminology with demonstrated understanding of revenue cycle concepts and process flows; extensive knowledge of claims forms used for healthcare billing (UB04, HCFA 1500, etc).
Maintains knowledge of all payer billing and collection rules.
Ability to communicate issues effectively with all levels of staff and departments.
Works regularly with information restricted to specific persons, discretion and integrity are recognized requirements of the job.