Hybrid Patient Billing Specialist (UB04/1500)

MedStar Health; White Marsh (MD); Hybrid; USD 53,583,000 - 93,757,000; Full time

Job summary

MedStar Health in Maryland is seeking a Patient Accounts Specialist to join the Billing team. The role entails processing daily billing, reviewing edits, and ensuring timely payment with QA standards. Requires UB04/1500, EOB interpretation, and Excel proficiency; on-site training for 90 days, then hybrid with alternating weeks on-site.

Responsibilities include daily 837i/837p balancing, claim rejections, and reconciliation, plus handling paper claims and billing projects.

Qualifications

• High school graduation or equivalent.
• 1 year experience in patient accounting, accounts receivable, or related healthcare field, or an equivalent combination of experience and college education in Accounting, Finance or Healthcare Administration.
• Detailed working knowledge of multiple payers application billing and/or collection processes, including governmental and non-governmental.
• Basic working knowledge of UB04 and/or 1500 and Explaination of Benefits (EOB).
• Some knowledge of medical terminology and CPT/ICD-10 coding.
• Excellent communication, analytical, interpersonal and organizational skills.
• Proficient in hospital registration/billing systems and Microsoft Excel/Word; typing 35 WPM.

Responsibilities

• Daily AM Renamer balancing and validation of the 837i and 837p.
• Patient Accounts Specialist productivity.
• Electronic claim rejections.
• Processing of paper claims with medical records/attachments.
• Daily Billing Reconciliation completion.
• Monitor and follow up on daily claim holds with weekly reconciliation.
• Processing of daily interrupt processing of Centralize Coding and Revenue Control claim referrals.
• Processing of returned mail.
• Processing of assigned billing projects.

Skills

Communication skills

Analytical skills

Organizational skills

Typing 35 WPM

Education

High school graduate or equivalent

College coursework in Accounting/Finance/Healthcare Administration

Tools

Excel

Word

Job description

MedStar Health in Maryland is seeking a Patient Accounts Specialist to join the Billing team. The role entails processing daily billing, reviewing edits, and ensuring timely payment with QA standards. Requires UB04/1500, EOB interpretation, and Excel proficiency; on-site training for 90 days, then hybrid with alternating weeks on-site.

Responsibilities include daily 837i/837p balancing, claim rejections, and reconciliation, plus handling paper claims and billing projects.