About Baltimore Medical System
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Baltimore, MD, US
Year founded
1984
$16.60 - $23.50/hr
Full-time
Posted 11 days ago
Job description
Description
The Accounts Receivable (AR) Specialist is responsible for following up on third-party claims, correspondence, credits, and denials. Maximizes revenue by monitoring claims and remittances, filing appropriate appeals, and processing denied charges. The AR Specialist maintains strong working relationships with ancillaries and center staff in order to address any issues that will impact the processing of claims and/or our ability to collect for services rendered, ultimately, and maintains a positive working relationship with the payer representative to ensure problem resolution. Answers all billing calls from patients.
Schedule/Hours
Monday - Friday | 800 AM to 4:30 PM
Essential Functions:
Requirements
The Accounts Receivable (AR) Specialist is responsible for following up on third-party claims, correspondence, credits, and denials. Maximizes revenue by monitoring claims and remittances, filing appropriate appeals, and processing denied charges. The AR Specialist maintains strong working relationships with ancillaries and center staff in order to address any issues that will impact the processing of claims and/or our ability to collect for services rendered, ultimately, and maintains a positive working relationship with the payer representative to ensure problem resolution. Answers all billing calls from patients.
Schedule/Hours
Monday - Friday | 800 AM to 4:30 PM
Essential Functions:
- Reviews accounts and maintains accurate documentation
- Processes AR timely, focusing on unpaid claims in the appropriate buckets
- Resubmits corrected claims when necessary and follows up on all correspondence
- Ensures correct payments are being received. Submits appeals as needed
- Generates refunds and requests refund letters for credits
- Contact insurance companies with any questions or issues
- Answer patient calls received through the billing line
- Obtains credit card information for patient payments
Requirements
- High school diploma or GED.
- Medical Billing & Coding Certificate from an accredited institution
- A strong knowledge of the billing process and analyzing EOB's
- 3 years of experience with ICD-10 coding, HCPCS, and CPT coding guidelines in order to identify trends, correct claims, and resubmit for payment.
- Comprehensive knowledge of all the nuances of each payer regulation according to company contracts and FQHC regulations.
bmsi.org
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Frequently asked questions
Q: What skills or qualities help someone succeed as a Medical Accounts Receivable Specialist?
A: To succeed as a Medical Accounts Receivable Specialist, key technical skills include proficiency in medical billing software, knowledge of ICD-10 and CPT coding systems, and experience with electronic health records (EHRs) and practice management systems. Soft skills such as strong communication and negotiation skills, attention to detail, and the ability to work under pressure are also essential, as they enable effective resolution of billing disputes and timely follow-up with patients and insurance providers. By combining these technical and soft skills, Medical Accounts Receivable Specialists can efficiently manage claims, resolve issues, and contribute to the financial success of healthcare organizations, ultimately supporting their career growth and effectiveness in the role.
Q: What is the career path for a Medical Accounts Receivable Specialist?
A: A Medical Accounts Receivable Specialist typically starts as an entry-level Accounts Receivable Clerk, processing patient payments and managing billing records, before advancing to a mid-level role as an Accounts Receivable Coordinator, overseeing daily operations and resolving payment discrepancies. With experience, they can progress to senior roles such as an Accounts Receivable Manager, leading teams and implementing process improvements, or a Revenue Cycle Manager, overseeing the entire revenue cycle process. Key opportunities for skill development include learning medical billing and coding, insurance reimbursement, and data analysis, which can lead to long-term career prospects in healthcare management, revenue cycle consulting, or medical billing and coding leadership.
