Patient Accounts Receivable Representative I

University of Maryland Medical System; Linthicum (MD); Hybrid; USD 26,863 - 37,622; Full time

Job summary

The University of Maryland Medical System is seeking a Patient Accounts Receivable Representative I for a hybrid position to assist in managing accounts receivable processes in Linthicum Heights, MD. You'll play a crucial role in verifying insurance and ensuring financial responsibilities are clear while adhering to regulations.

The ideal candidate will have a high school diploma and at least a year of experience in collections or customer service, with a strong knowledge of medical terminology and processes.

Qualifications

• High School Diploma or equivalent (GED).
• At least 1 year of experience in general collections or customer service.
• Familiarity with insurance billing, collections, and medical terminology.

Responsibilities

• Support insurance verification and evaluate patients' financial responsibility.
• Maintain assigned receivables and reduce uncompensated care.
• Ensure correct processing of outstanding insurance claims.

Skills

Experience in general collections

Customer service skills

Knowledge of medical terminology

Education

High School Diploma or equivalent (GED)

Associate's degree in healthcare or related field

Tools

EPIC HB module

Job description

Patient Accounts Receivable Representative I

This position is hybrid – you may be required to go on site to 900 Elkridge Landing Rd, Linthicum Heights, MD 21090, Monday – Friday. Under general supervision this role supports the vision and mission of the University of Maryland Medical Systems, a multi‑billion dollar regional healthcare facility. Responsibilities include insurance verification, evaluating patients’ financial responsibility, updating accounts to billable/collectible status, researching denials, claim rejections, delays in reimbursement, and using all possible means to resolve accounts – contacting patients, insurance companies and other departments. The role assists the department with collection procedures and meeting performance goals while adhering to current laws and payer regulations and reducing uncompensated care.

Key Responsibilities

• Work and maintain assigned receivables through work queues, age trail balance reports and special projects to achieve department goals and reduce uncompensated care.
• Work with third‑party insurances to obtain the maximum level of cash to reduce receivables.
• Review financial references, including guidelines for reimbursement, state and federal regulations, and payer‑specific policies and procedures.
• Ensure correct processing of outstanding insurance claims by interpreting payer responses, requesting account‑level adjustments, submitting appeals and reconsiderations, evaluating patient responsibility, resolving denials and rejections, and performing verification.

Preferred Qualifications

• High School Diploma or equivalent (GED).
• At least 1 year of experience in general collections, accounts receivable oversight or customer service.
• Associate’s degree in healthcare, accounting, finance, business administration or healthcare administration.
• Familiarity with EPIC HB module.
• Experience with institutional or professional healthcare collections.
• Basic knowledge of insurance billing, collections and medical terminology, including CPT, ICD‑10, HCPCS coding and EOB/EOP.

Compensation

• Pay range: $19.50 – $27.31 per hour.

EEO Statement – All your information will be kept confidential according to EEO guidelines.