Accounts Receivable Representative - MedStar Ambulatory Services

MedStar Health; Columbia (MD); Hybrid; USD 26,000 - 45,000; Full time

Job summary

MedStar Health in Columbia, MD seeks a full-time Reimbursement Specialist to perform patient account follow-up and payer communications within the ambulatory surgery center revenue cycle. Under the Reimbursement Manager, you will manage accounts in AR, submit claims and appeals, monitor KPI metrics, and train staff while coordinating a hybrid schedule (remote Mon & Fri; on-site Tue–Thu).

Required: 3–4 years in medical billing/collections, CPT/ICD-10 coding knowledge, and proficiency in Word and

Qualifications

• 3-4 years' experience in medical billing/collection.
• Surgery center billing preferred.
• One year of relevant education may substitute for required experience.

Responsibilities

• Follow up with payers to ensure timely payments.
• Assist monthly AR analysis for financial reviews.
• Meet KPIs: days in A/R, open receivables, cash collections.
• Provide training and monitor workflow for AR follow-up.
• Submit claims, adjustments, and appeals as applicable.
• Enter notes in billing system and communicate needs to management.
• Coordinate hybrid schedule and resource needs with ASC management.

Skills

Verbal & written communication

Microsoft Word & Excel

Billing/collections knowledge

CPT/ICD-10 coding knowledge

Education

High School Diploma or GED

Associate's or Bachelor's degree preferred

Job description

About the Job

This is afull-time, Monday–Friday, 8am - 4:30pm, position. Following successful completion of the90-day probationary period, the position offers a hybrid work schedule: Monday & Friday: Remote & Tuesday–Thursday:On-site

Our business office is located inColumbia, 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 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
• 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.