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Interacts with insurance companies on a daily basis and contacts the patients to resolve the accountsreceivable in a timely manner. Identifies, attempts to resolve and, if necessary, escalates issues with payersfor resolution. Assists in training of new hire staff and re-training, as needed, for existing staff. Works in ateam environment.
Minimum Qualifications
Education/Training
High school graduation or equivalent.
Experience
3 years experience in patient accounting or related healthcare field, or an equivalentcombination of experience and college education in Accounting, Finance or Healthcare Administration.
License/Certification/Registration
CRCS-I (Certified Revenue Cycle Specialist) certification through AAHAM is required.
Knowledge, Skills & Abilities
Detailed working knowledge and demonstrated proficiency in multiple specific payers applicationbilling 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 billingsystems and personal computers as well as Microsoft Excel and Word applications. Ability to type 35 WPM.
Primary Duties and Responsibilities
Along with management, actively participates in the weekly A/R focus review workgroup with emphasis on aged and high dollar A/R.
Attends training sessions and workshops offered, to include but not limited to, CPAT Training, bulletin review, etc. Attends and successfully completes required Continuing Education Units (CEU) for the PFS Training Program. Completes annual mandatory training (SITEL) within defined time frame.
Keeps abreast of regulatory and specific changes as it relates to billing requirements and payer specific follow up.
Maintains daily performance benchmarks as it applies to patient accounts receivable.
Maintains departmental level II QA standards within established error rate.
Meets team specific benchmark as it applies to PXPAID, Disputed Claims, >$10K, >$20K, and credits.
Participates in PFS workgroups, staff meetings and work events.
Performs other duties as assigned.
Successfully conducts and completes new employee training. New hire should be within departmental standards within 6 weeks based on audit results.
About MedStar Health
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation and research. Our 30,000 associates and 5,400 affiliated physicians work in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest visiting nurse association in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar is dedicated not only to teaching the next generation of doctors, but also to the continuing education and professional development of our whole team. MedStar Health offers diverse opportunities for career advancement and personal fulfillment.