Patient Accounts Specialist - Guarantor

General Summary of Position

MedStar's Patient Financial Services is currently seeking a Patient Accounts Specialist to join ourGuarantor Team. Position may require on-site training in the business office located in Nottingham, Maryland. Remote position after training.

Monday - Friday, 7am - 3:30pm, remote schedule

The Guarantor Team is responsible for the billing and follow up of claims for our guarantor population as well as the follow-up for the specialty insurance plans. The Guarantor Plans include a variety of payers such as Kidney Acquisition, National Kidney Registry, Catholic Charities and numerous state grants. The specialty plans include payers such as the Veterans Administration, Tricare and Policy and Fire Clinic. Claims are billed via UB04 or List Billing.

Job Summary
Interprets and evaluates appeals to include follow-up with payers to assure timely turn around for claims resolution and reimbursement. Must be able interpret explanation of benefits and have a clear understanding of payer methodology. Works in a team environment.

Minimum Qualifications

Education

• High School Diploma, GED or equivalent required

Experience

• 1-2 years Experience in patient accounting, accounts receivable or related healthcare field, or an equivalent combination of experience and college education in accounting, finance or healthcare administration required

Knowledge, Skills, and Abilities

• Detailed working knowledge and demonstrated proficiency in at least one specific payers application billing and/or collection process.
• Requires basic working knowledge of UB04 and Explanation of Benefits (EOB).
• Requires some knowledge of medical terminology and CPT/IDC-9 coding.
• Excellent communication, analytical, interpersonal and organizational skills.
• Proficient uses of hospital registration and/or billing systems and personal computers as well as Microsoft Excel and Word applications.
• Ability to type 35 WPM.

This position has a hiring range of $18.33 - $31.61