Accounts Receivable Representative

MedStar Health’s Washington Hospital Center; Waldorf (MD); On-site; USD 26,000 - 45,000; Full time

Job summary

Washington Hospital Center, part of MedStar Health, seeks a Reimbursement Specialist to manage patient account follow-up under the Reimbursement Manager. You will pursue accurate AR reporting by contacting payers and self-pay patients to ensure timely payments and resolve discrepancies.

Qualifications include a high school diploma or GED with 3–4 years of medical billing experience; associate or bachelor's degree preferred. Proficiency in Word and Excel, EOBs, and CPT/ICD-10 coding is required.

Qualifications

• High school diploma or GED required; associate/bachelor's preferred.
• 3-4 years experience in medical billing/collection; knowledge of medical collections process.
• Proficient in Word and Excel; knowledge of CPT/ICD-10 coding and EOBs.

Responsibilities

• Keeps abreast of regulatory changes related to billing requirements and payer follow-up.
• Assists management in preparation of monthly accounts receivable analysis for financial review.
• Meets monthly departmental KPIs for days in A/R, open receivables, cash collections, and high-dollar accounts.
• Provides training and technical assistance to employees as requested by management.
• Distributes and monitors workflow to ensure timely follow-up of accounts receivable.
• Performs adjustments in billing system, reconciles accounts, and submits claims as applicable.
• Prepares and submits appeals timely according to payer specifications.
• Ensures productivity targets for outstanding A/R cases and notes in billing system.

Skills

Medical billing

Payer follow-up

Communication skills

Organization

Education

High school diploma or GED

Associate's or Bachelor's degree preferred

Tools

Microsoft Word

Microsoft Excel

CPT/ICD-10 coding knowledge

EOB knowledge

Job description

About the Job

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.

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.

Minimal Qualifications

Education

• High School Diploma or GED required
• Associate's degree orBachelor'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
• 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.