Revenue Cycle Specialist: Patient Accounts & Appeals

MedStar Health; Washington (District of Columbia); On-site; USD 26,000 - 45,000; Full time

Benefits offered by this job

Health benefits

Paid time off

Tuition assistance

Retirement plans

Job summary

MedStar Health seeks an experienced Patient Accounts Specialist to support physicians' billing services within the revenue cycle. The role requires at least two years of physician patient accounts and collections experience, with a strong focus on denial resolution and appeals processing to ensure timely reimbursement.

Responsibilities include AR follow-up, data integrity, and collaboration with management to develop collection strategies.

Qualifications

• 2 years collection experience in medical billing operations.
• Experience with GE IDX and ETM preferred.
• Knowledge of ICD9/10 and CPT4 coding for third party reimbursement.
• Familiarity with federal, state and local regulations related to collections.
• Strong analytical and organizational abilities.

Responsibilities

• Assists in maintaining integrity of the accounts receivable system database by reviewing data input for completeness and accuracy.
• Collects and determines follow-up needed on outstanding accounts receivable with an invoice balance <= $3000.
• Follows appeal procedures for denied claims and reimbursement below contractual fee schedule.
• Identifies patient/third party carrier complaints, resolves and communicates these complaints to management.
• Makes adjustments to patient accounts as necessary to facilitate timely reimbursement.
• Meets the Performance ETM Production quota at 100% of the established quota.
• Monitors assigned accounts receivable categories until payments are received and posted.
• Obtains necessary billing/appeal information to facilitate timely claim/appeal adjudication.

Skills

Organizational skills

Analytical skills

Problem solving

Data interpretation

Education

High School Diploma or GED

Some college preferred

Tools

GE IDX

ETM

Job description

MedStar Health seeks an experienced Patient Accounts Specialist to support physicians' billing services within the revenue cycle. The role requires at least two years of physician patient accounts and collections experience, with a strong focus on denial resolution and appeals processing to ensure timely reimbursement.

Responsibilities include AR follow-up, data integrity, and collaboration with management to develop collection strategies.