What are the responsibilities and job description for the Patient Accounts Specialist - Nongovernmental Follow-up position at medstar-stg?
MedStar Patient Financial Services Non-Government North Team is currently seeking experienced a Patient Accounts Specialist to join our amazing team. We are specifically looking for a candidate that has experience with facility and/or physician claims follow-up, researching claim denials and preparing/writing appeals to get claims paid.
About MedStar Patient Financial Services – Patient Accounting Non-Government North Team:
The Non-Governmental Follow Up North Department works all Commercial, HMO, MCO, Medicare Advantage and Workers’ Comp payers for 7 MedStar Health hospitals located in Maryland. The department completes follow-up on accounts that have been billed and either no payment has been received or when only partial payment is received. The team is also responsible for submitting appeals and payment reconsiderations on denials and underpayments as necessary.
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.
About MedStar Patient Financial Services – Patient Accounting Non-Government North Team:
The Non-Governmental Follow Up North Department works all Commercial, HMO, MCO, Medicare Advantage and Workers’ Comp payers for 7 MedStar Health hospitals located in Maryland. The department completes follow-up on accounts that have been billed and either no payment has been received or when only partial payment is received. The team is also responsible for submitting appeals and payment reconsiderations on denials and underpayments as necessary.
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.
