Specialist Patient Accounts II
Job Requisition: 10050747
Department: Fin Srvs-Phys Unified Bill
Facility: MedStar Corporate and Shared Services
Schedule: Full Time
Shift: Day shift
Location: Baltimore, MD
Under general supervision, performs accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on moderately complicated invoices in a Direct Contract assignment and/or with an invoice balance Performs collection activity for assigned divisions, third party carriers and individual providers. Maintains contacts with third party carriers and communicate billing/reimbursement changes to management in a timely manner. Assists in evaluation of A/R and participate in development of collection strategies to decrease outstanding A/R. Leads and is a resource for Insurance Analyst I.
EDUCATION: High School Diploma or GED. Bachelors or Associate degree preferred. Consideration will be given to an appropriate combination of education/training and experience.
EXPERIENCE: 4 years of progressively responsible experience in hospital/physician patient accounts or equivalent experience. Experience and proficiency using an automated billing system, GE IDX and ETM experience preferred.
LICENSE/CERT/REG: No special certification, registration or licensure is required.
SKILLS: Effective negotiating skills, to include ability to resolve complex billing and collection situations with individual patients or third party payers. Proactive problem solving skills. Ability to interpret data and related information, and discern trends and tendencies, as well as determine appropriate course of action. Ability to work as part of team, set goals, prioritizes work and assist in the coordination and execution of work. Ability to assist in the following areas: lead, monitor daily activities, evaluate, train and motivate performance of team members. Effective oral and written communication skills. 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.