MedStar Health is seeking an experienced Patient Accounts Specialist to join its Patient Accounting team, supporting non-governmental follow-up for MedStar Health hospitals in Washington, DC.
This role focuses on facility and physician claims follow-up, denial resolution, and appeals processing to help ensure timely and accurate reimbursement. The team works a mix of commercial, Blue Cross, HMO, MCO, Medicare Advantage, and Workers' Compensation payers. Team members perform follow-up on billed accounts with no payment or partial payment received and prepare written appeals for denials.
The work is performed in a team environment with dedicated payer assignments and cross-training as needed.
Minimum qualifications
- High school diploma or GED required
- 1–2 years of experience in patient accounting, accounts receivable, or a related healthcare field, or an equivalent combination of experience and college education in accounting, finance, or healthcare administration
Knowledge, skills, and abilities
- Working knowledge of at least one payer application billing and/or collection process
- Basic knowledge of UB-04 and Explanation of Benefits (EOB)
- Some knowledge of medical terminology and CPT/ICD-10 coding
- Strong communication, analytical, interpersonal, and organizational skills
- Proficiency with hospital registration and/or billing systems, personal computers, Microsoft Excel, and Word
- Ability to type 35 words per minute
Responsibilities
- Interpret and evaluate appeals
- Follow up with payers to ensure timely claims resolution and reimbursement
- Stay current on regulatory and payer-specific billing changes
- Maintain daily performance benchmarks
- Complete coding report updates and reconcile reports to SMS and posted information
- Maintain departmental quality assurance standards within the established error rate
Location
Baltimore, Maryland, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago