Accounts Receivable Representative

MedStar Health; Waldorf (MD); On-site; USD 26,000 - 45,000; Full time

Job summary

MedStar Health is seeking a patient accounts follow-up representative to ensure accurate accounts receivable reporting. You will follow up with insurers and payers for timely payments, maintain payer contacts, and communicate billing issues to management.

The role supports development of collection strategies to reduce outstanding A/R. Responsibilities include monitoring A/R KPIs, assisting with monthly analyses, training staff, and ensuring timely adjustments and appeals in claims.

Qualifications

• Verbal and written communication skills are essential.
• Must understand billing and collection processes and terminology.

Responsibilities

• Keeps abreast of regulatory changes related to billing requirements and payer follow-up.
• Assists management in preparing monthly accounts receivable analysis for financial reviews.
• Meets monthly departmental KPIs for days in A/R, aged A/R, cash collections and high dollar accounts.
• Provides training and technical assistance to staff as requested by management.
• Distributes and monitors workflow to ensure timely follow up of accounts receivable.
• Performs adjustments, reconciles accounts, and processes batches; submits claims as applicable.
• Prepares and submits appeals timely per payer specifications.
• Meets productivity goals for outstanding A/R cases, aiming to touch each account only once.
• Enters comments in the billing system detailing work performed or follow-up notes.

Skills

Verbal and written communication

Planning and prioritizing

MS Word and MS Excel

Knowledge of EOBs

CPT/ICD-10 coding

Billing compliance

Education

High School Diploma or GED

Associate's or Bachelor's degree preferred

1 year education may substitute for 1 year experience

Tools

Microsoft Word

Microsoft Excel

Job description

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.

About The Job

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 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
• 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.