PT Accounts Receivable Rep I, Hybrid

University of Maryland Medical System; Linthicum (MD); On-site; USD 40,000 - 55,000; Full time

Job summary

The University of Maryland Medical System is hiring for a financial position based in Linthicum, Maryland. This role involves verifying insurance, evaluating financial responsibilities, updating patient accounts, and resolving account issues.

Qualified candidates should have a High School Diploma, relevant work experience, and proficiency in MS Office tools. Familiarity with healthcare collections or the EPIC HB module is preferred. Strong communication and organizational skills are essential for success in this role.

Qualifications

• 1+ year work experience in general collections or accounts receivable.
• Familiar with medical billing and coding (CPT, ICD-10).
• Ability to handle confidential matters with integrity.

Responsibilities

• Maintain and resolve outstanding account balances.
• Work with insurance companies to optimize receivables.
• Process outstanding insurance claims and interpret responses.

Skills

Effective verbal and written communication

Attention to detail

Ability to work in a matrix environment

Knowledge of insurance billing and terminology

Proficiency in MS Excel

Education

High School Diploma or equivalent (GED)

Associate’s degree in healthcare or related field

Tools

MS Excel

MS Word

PowerPoint

EPIC HB module

Tableau

Job description

Overview

Under general supervision this position supports the vision and mission for the University of Maryland Medical Systems, a multi‑billion dollar, regional healthcare facility. Expectations include: Insurance verification, evaluating financial responsibility of patients, updating accounts to a billable/collectible status, researching denials, claim rejections, and delays in reimbursement; using all possible means to resolve accounts, which include contacting patients, insurance companies and other departments; assisting the department by organizing collection procedures and meeting performance goals while adhering to current laws and payer regulations and reducing uncompensated care.

Key Responsibilities

• Maintains assigned receivables through work queues, age trail balance reports (ATBs), and special projects to achieve established department goals through resolution of outstanding account balances and reduction of uncompensated care.
• Works with third‑party insurances to obtain maximum level of cash to reduce receivable.
• Reviews financial references, including guidelines for reimbursement, state and federal regulations, payer‑specific reimbursement policies, procedures.
• Ensures correct processing of outstanding insurance claims: interpreting insurance payer responses, requesting account‑level adjustments, submitting appeals and claim reconsiderations, evaluating financial responsibility of patients, resolving insurance denials and claim rejections, performing insurance verification.

Knowledge, Skills and Abilities

• Concern for quality and ability to identify errors and implement corrections.
• Effective verbal and written communication skills necessary in dealing with a variety of healthcare and finance professionals including senior management staff.
• Ability to work effectively in a matrix work environment and manage multiple deadline‑driven tasks and projects.
• Minimal knowledge or demonstrated ability to learn and understand HSCRC/CMS regulations, CPT, and ICD‑10 coding.
• Ability to operate a personal computer; proficiency with MS Excel, MS Word, PowerPoint required; MS Access, SAS, and Tableau preferred.
• Ability to handle confidential issues with integrity and discretion.
• Ability to prioritize and manage work in a stressful environment.

Education (Required)

• High School Diploma or equivalent (GED)

Education (Preferred)

• Associate’s degree in healthcare; courses in Accounting, Finance, Business Administration and/or Healthcare Administration

Experience (Required)

• 1 year work experience in general collections, accounts receivable oversight or customer service

Experience (Preferred)

• Familiar with EPIC HB module
• Institutional and/or Professional Healthcare Collections
• Basic knowledge of insurance billing, collections, insurance or medical terminology; including CPT, ICD‑10, HCPCS coding, EOB/EOP

Licenses / Certifications (Required)

• NA

Licenses / Certifications (Preferred)

• N/A