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Job Title: Financial Analyst/ Medical Biller (Entry-Level) Walter Reed National Military Medical Center (Hybrid)

Location: WRNMMC - Bethesda, MD

Contract: Walter Reed Contractor

Period of Performance: Full-time position

Start Date: Open

Additional: THIS POSITION IS FIVE (5) DAYS IN THE OFFICE/ NO TELEWORK

Salary: $22.42 per hour + $4.93 health & welfare allowance= $27.35 per hour

Clearance Requirement: Must be able to pass a NACI background check/ still checking for background clearance requirements.

Preference: Must have a High School Diploma, Associate Degree, or higher/ preferred BA Degree, and must have a minimum of 2–3 years of experience with standard office financial and administrative functions, especially in the medical field.

**** Veterans are encouraged to apply****

Note: The Ravens Group, Inc. requests that all interested parties complete the attached questionnaire to be considered for this position.

Job Description/ Financial Analyst (Entry-Level):

A financial analyst, or accounting analyst, studies a company’s financial data to give advice on guiding business investments and overall financial strategy. Their duties include predicting the return on investment for different stocks and business ventures, writing financial reports, and collecting industry research to inform decision-making.

Functional Responsibility:

• Process Medical Accounts Receivables by maintaining ledgers, compiling, consolidating, checking, and arranging funding data.
• Generate and submit medical claims to insurance companies ensuring all set rules, regulations, and/or procedures are adhered to strategies, policies, and procedures will be developed for Government review and approval.
• Strategies, policies, and procedures will be developed for Government review and approval.
• Train contractor staff members upon government request on accounting, budgeting, third-party collections, or other financial programs required.
• Maintain accounts receivable records, claims, billing receipts, and history files.
• Develop and maintain tickler files for tracking delinquent accounts receivable.
• Track and process all overdue Medical Accounts Receivable.
• Prepare letters to organizations to request payment on delinquent Medical Accounts Receivable
• Develop a process to track and maintain a file of these letters and the result collections.
• Guide internal and external contacts and insurers regarding questions concerning patient medical claims.
• Act as the point of contact between private insurance companies regarding Accounts receivable actions.
• Research, extract, and summarize reimbursable information, submitting all reports to the government.
• Post, examine, balance, and extract data from records to prepare reports.
• Examine documents for accuracy, adequacy of documentation, and compliance with regulations for the timely collection of third-party insurance accounts.
• Screen and review information to ensure documentation requirements for medical records are met.
• Provide any documentation of appropriate action.
• Perform a quantitative review of the medical record for completeness, ensuring that everything that is supposed to be there is present, signed, and dated, including the occurrence screening checklist.
• Retrieves medical records and other data for research projects and diagnostic, training, or review purposes.
• Answer telephone inquiries from within WRNMMC regarding patient status, admissions dispositions, length of convalescence, and transfer status.
• Contractor staff members will be trained as needed on accounting, budgeting, third-party collections, or other financial programs as required.
• Submit inpatient and outpatient claims, review inpatient and outpatient claims, and make follow-up calls as necessary.
• Collect, organize, and promptly prioritize data, files, and claims.
• File claims appropriately, stamping the correct code on inpatient and outpatient claims.
• File claims appropriately, stamping correct codes on inpatient and outpatient claims.
• Pre-cert all inpatient and APV claims within 48 hours.
• Work with the Utilization Review nurse to clarify patient stay information.
• Train new employees on the billing system.
• Print UB-04 and CMS 1500 forms to resubmit claims to the insurance companies. Cc) Electronically send claims daily to the insurance companies using the billing system.
• Screen and review information to ensure documentation requirements for medical records are met.
• Provide any documentation of appropriate action.
• Coordinate the performance and daily distribution of identification and collection of Other Health Insurance (OHI) patient information for all billable clinics that support the Uniform Business Office (UBO) revenue generation for WRNMMC.
• May communicate with administrative coordinators throughout the hospital on outpatient itemized billing (OIB) procedures to ensure optimal reimbursement for their respective patients.
• Train clinic personnel on the proper procedure use of the DD-2569 forms
• Educating and training others (patients’ clinical staff members, managers) on the importance of the OHI program regarding the patient’s DD 2569 forms.
• Train others to utilize the installed clinic scanners (which scan the patients’ insurance cards).
• Aggressively follow up with third-party payers on billed claims that are more than 30, 60, 90, and 120 days or more to ensure insurance carriers receive payment on claims promptly.
• Reconciling accounts accurately and promptly in ARMS PRO/General Ledger according to the UBO guidelines and the patient’s specific health benefits policy.

Qualifications:

• Must have at least 2–3 years' experience with standard office financial and administrative functions and excellent verbal and writing skills.
• Must have a High School Diploma or associate's degree or higher.
• Per the JTF National Capital Region Medical Directive, the candidate shall have all maintained evidence of AHA Heartsaver AED or equivalent training.
• Basic knowledge of medical terminology.
• Demonstrate advanced proficiency in computer network systems and all Microsoft Office applications.
• Ability to use general office equipment, including telephone, fax, copier, etc.
• Customer service expertise.
• Skill to communicate orally and in writing to collaborate with third-party insurers in obtaining pre-certification, avoid assessment of penalties, and reach an agreement on insurance coverage parameters.
• Ability to use automated systems effectively.
• Familiarity with a variety of medical field concepts, practices, and procedures.
• Complete HIPAA training within 30 days of working under the task order and annually thereafter.
• Basic understanding of accounting systems, policies, and procedures.
• General knowledge of reimbursable patient accounting practices.
• Ability to work accurately with figures.
• The candidate must have the ability to work accurately with figures.
• Knowledge of, or the ability to learn and function within, the medical systems in use at the site (CHCS, ADS, ARMS PRO, etc.).
• Knowledge of insurance plans and their terminology (for example, HMOs vs TPA and PPO plans).
• Knowledge of or the ability to learn and adhere to DoD instructions, DHA regulations, and policies regarding Third Party Collections.
• Familiarity with NDC, CPT, and ICD-9/ICD-10 codes and applicable coding guidelines.
• Thorough familiarity with health insurance industry practices regarding claims processing and EOB content.
• Ability to interact professionally and courteously with beneficiaries and hospital staff.

THIS POSITION IS FIVE (5) DAYS IN THE OFFICE/ NO TELEWORK

The Ravens Group is an "equal opportunity employer/veteran/disability" organization.