Patient Accounts Specialist II - Denials & Collections

MedStar Health; Washington (District of Columbia); On-site; USD 29,000 - 51,000; Full time

Job summary

MedStar Health is seeking an experienced Patient Accounts Specialist II to join our revenue cycle team supporting our physicians' billing services. In this role you will perform accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on insurance invoice balances.

You will maintain contacts with third party carriers and communicate billing changes to management in a timely manner.

Qualifications

• 4 years of progressively responsible experience in hospital/physician patient accounts or equivalent
• Experience and proficiency using automated billing systems GE IDX and ETM experience
• Knowledge of ETM basic operation of hardware and work processing and spreadsheet packages preferably Microsoft
• Knowledge of relevant billing and collection laws and regulations hospital protocols
• Knowledge of third party claims and diagnostic coding to include ICD 9/10 and CPT coding

Responsibilities

• Actively and continuously improves work processes for self using continuous improvement tools and methods
• Assists in planning work for self and Insurance Specialist including setting goals prioritizing work and coordinating the execution of work
• Assists with determining organization processes that maximize cash receipts
• Bills patient accounts and verifies charges coordinating benefit level type of coverage and/or approval for coverage
• Collects insurance accounts by contacting insurance carriers and other third party payers to verify receipt of billing and other information needed to process claims
• Develops productive relationships with payer representatives to secure timely payment of claims
• Forwards bill to third party payers and/or enters billing information into computerized billing system
• Interprets data and reports to determine work priorities and resource allocation across multiple billing and collection tasks
• Investigates and resolves insurance claim rejections
• Meets the Performance ETM Production quota set at 90% of the established quota
• Reviews and monitors work quantity and quality recommends resource allocation to meet goals

Skills

Negotiation skills

Problem solving

Data interpretation

Team player

Verbal & written communication

Billing regulations

Coding knowledge (ICD/CPT)

Education

High School Diploma or GED

Associate's or Bachelor's degree

Tools

GE IDX

ETM

Automated Billing System

Job description

MedStar Health is seeking an experienced Patient Accounts Specialist II to join our revenue cycle team supporting our physicians' billing services. In this role you will perform accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on insurance invoice balances.

You will maintain contacts with third party carriers and communicate billing changes to management in a timely manner.