What are the responsibilities and job description for the Patient Accounts Specialist - Medicare position at medstar-stg?
MedStar’s Patient Financial Services Medicare Team is currently seeking an experienced Patient Accounts Specialist to join our amazing team. We are specifically looking for candidates who have experience with claims follow up and the ability to read/interpret an explanation of benefits. This position is full time, Monday - Friday dayshift, working remotely after on-site training in Nottingham, Maryland (up to the first 90-days).
More About the Medicare Team: The Medicare Team is responsible for billing all Medicare claims, as well as the AR follow up. Medicare handles all their own claims from start to finish. We work closely with Novitas and with various internal PFS Departments to ensure claims are billed and paid timely and correctly. This requires us to stay current with all Medicare Federal Guidelines. We work our own credits and PX as well.
Job Summary - To ensure timely payments, initiates follow-up on outstanding receivables by contacting Medicare or utilizing the on-line system. Work must meet QA standards to ensure that both departmental and PFS benchmarks are met.
Primary Duties and Responsibilities:
· Processes PXP423 report within 72 hours to ensure all billing is completed by the end of the week.
· Processes secondary claims and forwards to the appropriate department within 1 hour of time printed on the Accelerated Secondary Report.
· Processes ZMSP report within 72 hours of receipt to ensure all billing is completed by the end of the week.
· Maintains daily performance benchmarks as it applies to Medicare follow-up on outstanding receivables.
· Meets team specific benchmark as it applies to PXPAID, Disputed Claims, >$10K, >$20K, and credits.
Qualifications:
- High School Diploma or GED required
- 1-2 years’ experience in patient accounting, accounts receivable or related healthcare field required or an equivalent combination of experience and college education in accounting, finance or healthcare administration
- 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/ICD-10 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.
Salary : $20,000
