Patient Accounts Specialist

Boston Medical Center; Lutherville (MD); On-site; USD 24,000 - 36,000; Full time

Job summary

GBMC HealthCare in Maryland is seeking a Collections Specialist to manage patient and insurer balances under supervision. You will follow up by phone, online, and letter, and may appear in court as a representative for collecting co-pays, deductibles, or coinsurance.

You will handle secondary billing, respond to inquiries, reconcile vouchers, and report issues to supervisors. A HS/GED and admin/billing experience are preferred. Travel to court sites in Maryland may be required.

Qualifications

• HS or GED required.
• Knowledge of collection procedures, laws, rules and regulations.
• Ability to perform arithmetic calculations with accuracy.

Responsibilities

• Follow up on patient and insurance balances via telephone, online, and letters within set timelines.
• Ensure secondary billing on accounts with secondary liability and pursue unpaid balances.
• Respond to patient and third-party payer inquiries/complaints by phone, mail, or in person.
• Reconcile third-party payment vouchers and ensure proper reimbursement.
• Identify issues with third-party payers and communicate to supervisor for investigation.
• Occasionally travel to court sites throughout Maryland for court appearances.

Skills

Collection procedures knowledge

Written and oral communications

Arithmetic calculations

Education

HS/GED

Job description

Under direct supervision, performs all collection functions on account balances within assigned financial classes. Those on the collections/self-pay team will also be required to serve as a representative of GBMC in court for collection of co-pays, deductibles or coinsurances.Education:HS or GEDExperience:One year of administrative experience, 6 months of direct billing or collections experience preferred and 1 year of customer service, preferably in a healthcare or insurance environment.Skills:Knowledge of collection procedures, laws, rules and regulationsSkill in written and oral communicationsSkill in performing arithmetic calculationsPhysical Requirements:Ability to concentrate and pay close attention to detail.Ability to sit for long periods of time.Working Conditions:Normal office work environmentThose working on the collection/self-pay team will be required to occasionally travel to/from court sites (throughout Maryland) for court assigned appearances.Principal Duties and Responsibilities:Follows-up on patient and insurance balances via telephone contacts, on-line follow-up and appropriate collection letter utilization within assigned timeline and in accordance with assigned work lists.Ensures secondary billing on accounts with secondary liability, follows-up on any unpaid balances.Processes rejections and inquiries from third party payers. Provides corrected data and resubmits bills as necessary.Ensures late charge billing and proper posting to accounts.Responds to patient and third party payor inquiries/complaints regarding patient accounts via telephone, mail and in person.Reconciles third party payment vouchers, ensuring proper reimbursement.Identifies and communicates problems, issues and negative trends for third party payers to the team coordinator or supervisor for investigation.Those on the collections/self-pay team will also serve as a representative of GBMC in court for collection of co-pays, deductibles or coinsurances.All roles must demonstrate GBMC Values:RespectI will treat everyone with courtesy. I will foster a healing environment.Treats others with fairness, kindness, and respect for personal dignity and privacyListens and responds appropriately to others’ needs, feelings, and capabilitiesExcellenceI will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.Meets and/or exceeds customer expectationsActively pursues learning and self-developmentPays attention to detail; follows throughAccountabilityI will be professional in the way I act, look and speak. I will take ownership to solve problems.Sets a positive, professional example for othersTakes ownership of problems and does what is needed to solve themAppropriately plans and utilizes required resources for various job dutiesReports to work regularly and on timeTeamworkI will be engaged and collaborative. I will keep people informed.Works cooperatively and collaboratively with others for the success of the teamAddresses and resolves conflict in a positive waySeeks out the ideas of others to reach the best solutionsAcknowledges and celebrates the contribution of othersEthical BehaviorI will always act with honesty and integrity. I will protect the patient.Demonstrates honesty, integrity and good judgmentRespects the cultural, psychosocial, and spiritual needs of patients/families/coworkersResultsI will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.Embraces change and improvement in the work environmentContinuously seeks to improve the quality of products/servicesDisplays flexibility in dealing with new situations or obstaclesAchieves results on time by focusing on priorities and manages time efficientlyPay Range$17.35 - $26.36Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.Equal Employment OpportunityGBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.