Accounts Receivable Representative - MedStar Ambulatory Services

This is a full-time, Monday-Friday, 8am - 4:30pm position. Following successful completion of the 90-day probationary period, the position offers a hybrid work schedule: Monday & Friday remote, Tuesday-Thursday on-site at our business office in Columbia, Maryland.

About the role

Under the supervision of the Reimbursement Manager, the representative will be responsible for thorough and timely patient account follow-up to ensure accurate accounts receivable reporting. This role involves following up with insurance companies and/or third-party payers to ensure payments by primary and secondary payers and/or self-pay patients are accurate and timely. The representative maintains contacts with payers, communicates billing/reimbursement issues to management, and participates in developing collection strategies to decrease outstanding A/R. This is a vital position in the revenue cycle process for Ambulatory Surgery Center surgical cases.

Responsibilities

• Keeps abreast of regulatory and specific changes related to billing requirements and payer-specific follow-up, communicating such changes to management in a timely manner.
• Assists management in preparation of monthly accounts receivable analysis for financial review with ASC management.
• Meets monthly departmental key performance indicators (KPIs) for days in A/R, open receivables, aged A/R, cash collections, credit balances, and high-dollar accounts.
• Provides training and technical assistance to employees as requested by management.
• Distributes and monitors workflow and responsibilities for employees to ensure timely follow-up of accounts receivable.
• Performs timely and accurate adjustments in the billing system, reconciles accounts, and performs batch processing. Submits claims as applicable.
• Prepares and submits appeals in a timely manner and in accordance with payer specifications.
• Meets departmental productivity goals for the number of outstanding A/R cases each month, with the goal of only touching each account once.
• Enters comments in the billing system for each account worked, detailing any work completed or notes for follow-up.
• Meets with management to communicate any needs or resources required for the successful completion of tasks.

Requirements

• High School Diploma or GED required; Associate's degree or Bachelor's degree preferred. One year of relevant education may be substituted for one year of required work experience.
• 3-4 years of experience in medical billing/collection with knowledge of the medical collections process required. Surgery center billing preferred. One year of relevant professional-level work experience may be substituted for one year of required education.

Skills

• Verbal and written communication skills.
• Basic computer skills, including proficiency in Microsoft Word and Excel.
• Knowledge of carrier EOBs (Explanation of Benefits), basic medical terminology, and CPT/ICD-10 coding.
• Demonstrated ability to plan, organize, and prioritize work responsibilities.
• Knowledge of pertinent Federal, State, and local laws, codes, and regulations related to patient billing and collection.

Pay

This position has a hiring range of USD $18.70 - USD $32.72 per hour.

Schedule

• Full-time, Monday-Friday, 8am - 4:30pm.
• Hybrid schedule after 90-day probationary period: Monday & Friday remote, Tuesday-Thursday on-site.