General Summary of Position MedStar Health's Patient Accounting 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:
Why MedStar Health?
At MedStar Health, we understand that our ability to treat others well begins with how we treat each other. We work hard to foster an inclusive and positive environment where our associates feel valued, connected, and empowered. We live up to this promise through:
About MedStar Health
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.
MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations, and we comply with the federal, state and local laws governing each of those locations. MedStar Health makes all decisions regarding employment, including for example, hiring, transfer, promotion, compensation, benefit eligibility, discipline, and discharge without regard to any protected status, including race, color, creed, religion, national origin, citizenship status, sex, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, political affiliations, or any other characteristic protected by federal, state or local EO laws. If you receive an offer of employment, it is MedStar Health's policy to hire its employees on an at-will basis, which means you or MedStar Health may terminate this relationship at any time, for any reason.