Patient Accounts Receivable Representative I - Fully On-Site - Military Veterans

at University of Maryland Medical System

Cockys Ht Vly, Maryland

What You Will Do:

* This is an on-site position only.

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, but are not limited to, Insurance verification, evaluating financial responsibility of patients, updating accounts to a billable/collectible status, researching denials, claim rejections, and delays in reimbursement, utilizing all possible means to resolve accounts, which include contacting patients, insurance companies and other departments. Assists the department by organizing collection procedures and meeting performance goals while adhering to current laws and payer regulations and reducing uncompensated care.

Key Responsibilities

  • Works and maintains assigned receivables through work queues, age trail balance reports (ATB’s), 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 by: interpreting insurance payer responses, requesting account level adjustments, submitting appeals and claims reconsiderations, evaluating financial responsibility of patients, resolving insurance denials and claim rejections, performing insurance verification.


What You Need to Be Successful:

Qualifications

  • Education: High School Diploma or equivalent (GED)
  • Experience: 1 year work experience in general collections, accounts receivable oversight or customer service

Preferred

  • Education: Associates degree in healthcare; courses in Accounting, Finance, Business Administration and/or Healthcare Administration
  • Experience: 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

Knowledge, Skills and Abilities

  • Concern for quality and ability to identify errors and implement corrections.
  • Effective verbal and written communication skills are 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 to manage multiple deadline-driven tasks and projects.
  • Minimal knowledge or demonstrated ability to learn and understand HSCRC/CMS regulations, CPT (Current Procedural Terminology), and ICD-10 coding.
  • Ability to operate a personal computer is required.  Proficiency with the following applications is required:  MS Excel, MS Word, and PowerPoint.  MS Access, SAS, and Tableau is preferred.
  • Ability to handle confidential issues with integrity and discretion.
  • Ability to prioritize and manage work in a stressful environment.

We are an Equal Opportunity/Affirmative Action employer.  All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.  See Job Description

Cockys Ht Vly, Maryland

The University of Maryland Medical System (UMMS) delivers a special blend of clinical skill, innovation and caring in each area we serve.

We share the research and specialized care for which our teaching hospital is known with our member hospitals, health centers, doctors and care teams, all of which are focused on the people we serve.

Our 13 hospitals in Maryland provide care to Maryland residents, the Mid-Atlantic region and beyond.

Our top priority is serving the health of people throughout the state. Each of our hospitals has worked for years with many local groups and individuals to address their area's most urgent health needs. UMMS's philosophy is simple: "Healthy communities are empowered communities."

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