What are the responsibilities and job description for the Patient Accounts Specialist I - Follow-Up Team position at medstar?
MedStar Patient Financial Services Non-Government South Follow-up Team is currently seeking an experienced 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.
Position is remote with full-time, flexible Monday – Friday, day shift schedule.
The Non-Governmental Follow-Up South Department works all Commercial, HMO, MCO, Medicare Advantage and Workers’ Comp payers for the two DC MedStar Health hospitals. The team does “follow up” on accounts that have been billed and no payment has been received or when only partial payment is received. The team issues written appeals for denials. The DC facilities work off a contract-based reimbursement system, so all South team members are familiar with all the contracts for each payer for each facility. To make it more manageable, each team member has a dedicated payer or group of payers, depending on the volume that they work. Team members are cross trained as needed.
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.
