Patient Accounts Receivable Representative I

Patient Accounts Receivable Representative I at University of Maryland Medical System Patient Accounts Receivable Representative I at University of Maryland Medical System in Linthicum, Maryland Posted in 8 days ago.

Job Description:

Job Requirements This is a hybrid position; may have to travel to the Linthicum, MD location occasionally. 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. Work Experience High School Diploma or equivalent (GED) 1 year work experience in general collections, accounts receivable oversight or customer service Preferred Associates degree in healthcare; courses in Accounting, Finance, Business Administration and/or Healthcare Administration Familiar with EPIC HB module Institutional and/or Professional Healthcare Collections Basic knowledge of insurance billing, collections, insurance or medical terminology; including

CPT, ICD-10, HCPCS

coding, EOB/EOP All your information will be kept confidential according to EEO guidelines.

Compensation:

Pay Range:

$19.50 - $27.31 Other Compensation (if applicable): Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at careers@umms.edu.