Patient Accounts Specialist I - Medicaid

Patient Accounts Specialist

IMedStar Health has an opportunity for a Patient Accounts Specialist to join the Patient Accounting Medicaid team. On-site training in Nottingham, Maryland is preferred. After training, associates get to enjoy a remote schedule working full time, Monday Friday, day shift.

We are specifically looking for a candidate that has critical thinking skills along with experience in facility claims follow-up, researching / investigating claim denials and preparing / writing appeals to get claims paid. As a Patient Accounts Specialist on this team, you will be responsible for interpreting and evaluating appeals to include follow-up with payers to assure timely turn around for claims resolution and reimbursement. Must be able to interpret explanation of benefits and have a clear understanding of payer methodology. Works in a team environment.

More About the Medicaid Team - The Medicaid team is responsible for completing the following up on accounts where the patient has straight Medicaid. We work closely with advocacy, CFC and billing to ensure patients who receive retro-eligible Medicaid are billed timely within the specific state requirements.

Primary Duties and Responsibilities

• Attends training sessions and workshops offered to include but not limited to CPAT Training bulletin review etc. Attends and successfully completes required Continuing Education Units (CEU) for the PFS Training Program. Completes annual mandatory training (SITEL) within defined time frame.
• Keeps abreast of regulatory and specific changes as it relates to billing requirements and payer specific follow up.
• Maintains daily performance benchmarks as it applies to interpreting and evaluating appeals to include follow up with payers. Completes coding report updates within the standard set in a timely manner to begin the daily workflow process. Responsible for reconciliation of reports to SMS and information that was posted.
• Maintains departmental QA standard within established error rate.
• Meets team specific benchmark as it applies to completed Tracking Forms forwarded to the Operational Desk after completion on a daily basis >

$10K >

$20K AR15 AR30 and AR45.

Minimal Qualifications

Education

Experience

Knowledge Skills and Abilities

This position has a hiring range of USD $18.33 - USD $31.61 / Hr.