Patient Account Representative

Sheppard Pratt Careers; Towson (MD); Hybrid; USD 38,000 - 54,000; Full time

Benefits offered by this job

Tuition reimbursement

Medical, dental, vision coverage

403b retirement plan

Generous PTO

Employee Assistance Program (EAP)

Job summary

Sheppard Pratt is seeking a Billing Specialist in Towson, MD. The role focuses on daily follow-up to secure payment and resolve accounts receivable across Medicare, Medicaid, Blue Cross/Blue Shield, and other payers.

You will use PCS imaging systems to prepare claims and update records for third-party billing. The position requires 6–12 months in billing/health insurance, familiarity with UB factors, and Medicaid experience is strongly preferred.

Qualifications

• 6 months–12 months of experience in related billing and health insurance work.
• Follow-up and Medicaid experience strongly preferred.
• Knowledge of billing practices, procedures, collections, third-party payer and UB requirements, and third-party reimbursement procedures.

Responsibilities

• Follow up daily to secure payment and resolve outstanding accounts receivable for multiple payer categories.
• Use PCS imaging systems to initiate, complete follow up, and update patient accounts with data required for third-party claims and client statements.
• Post transactions and bill insurance carriers/clients and adjust third-party/self-pay data.

Job description

Locations

Towson - Dulaney Center
849 Fairmount Ave
Towson, MD 21286, USA

• Hybrid
• Finance & Accounting
• Full-Time
• Requisition #: PATIE012371

Description

General Summary:

• Under general supervision and in accordance with established policies and procedures, is responsible for daily follow-up functions to secure payment and/or resolve outstanding accounts receivable for one or more of the assigned payer categories: Medicare, Medicaid, Blue Cross and Blue Shield, Commercial/Managed Care, Tri-Care, Worker’s Compensation, Schools, DSS/DJS, and Self-Pay.
• Uses computerized patient information management and Paperless Claim System (PCS) imaging systems to initiate, complete follow up, and update patient accounts with data required for preparation of third-party claims and client statements.
• Post transactions, and bill insurance carriers/client and adjust third-party/self-pay data. Prepare and maintain required documentation.

The vast majority of this position involves interaction with insurance companies with only a very small percentage involving interaction with clinicians and patients.

Requires:

• 6 months - 12 months of experience in related billing and health insurance work. Follow-up and Medicaid experience strongly preferred.
• Must have knowledge of billing practices, procedures, collections, third-party payer and Universal Billing requirements, and third-party reimbursement procedures.

At Sheppard Pratt, you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer:

• A commitment to professional development, including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparation
• Comprehensive medical, dental and vision benefits for benefit eligible positions
• 403b retirement match
• Generous paid-time-off for benefit eligible positions
• Complimentary Employee Assistance Program (EAP)

The pay range for this position is $18.50/hr minimum to $26.04/hr maximum. Pay for this position is determined on a number of factors, including but not limited to, years and level of related experience.

Equal Opportunity Employer
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