What are the responsibilities and job description for the Patient Commercial Insurance or Managed Care Accounts Receivable Representative, Hybrid position at University of Maryland Medical System?
The ideal candidate will have experience with insurance follow-up.
Overview
Under general supervision, this position supports the vision and mission for the University of Maryland Medical Systems, a multi-billion dollar, regional healthcare facility. Expectations include, but are not limited to, Insurance verification, evaluating financial responsibility of patients, updating accounts to a billable/collectible status, researching denials, claim rejections, and delays in reimbursement, utilizing all possible means to resolve accounts, which include contacting patients, insurance companies and other departments. Assists the department by organizing collection procedures and meeting performance goals while adhering to current laws and payer regulations and reducing uncompensated care.
Key Responsibilities
Works and maintains assigned receivables through work queues, age trail balance reports (ATB’s), and special projects to achieve established department goals through resolution of outstanding account balances and reduction of uncompensated care.
- Works with third party insurances to obtain maximum level of cash to reduce receivable.
- Reviews financial references, including guidelines for reimbursement, state and federal regulations, payer-specific reimbursement policies, procedures.
- Ensures correct processing of outstanding insurance claims by: interpreting insurance payer responses, requesting account level adjustments, submitting appeals and claims reconsiderations, evaluating financial responsibility of patients, resolving insurance denials and claim rejections, performing insurance verification.
The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.
- High School Diploma or equivalent (GED)
- 1 year of work experience in general collections, accounts receivable oversight or customer service required
- Experience with Insurance verification, evaluating patients' financial responsibility, updating accounts to a billable/collectible status, researching denials, claim rejections, and delays in reimbursement, and utilizing all possible means to resolve accounts, including contacting patients, insurance companies and other departments preferred.
All your information will be kept confidential according to EEO guidelines.
Compensation:
Pay Range: $19.65-$25.34
Other Compensation (if applicable): None
Review the 2024-2025 UMMS Benefits Guide
Salary : $1,000 - $1,000,000
