Mercy Medical Center - Baltimore, MD

posted about 2 months ago

Full-time - Mid Level
Baltimore, MD
Nursing and Residential Care Facilities

About the position

The A/R Specialist at Mercy Medical Center plays a crucial role in managing patient accounts for assigned practice groups under the supervision of the Manager of Physician Billing. This position involves a variety of daily tasks centered around billing and collections, ensuring that all patient accounts are handled with accuracy and efficiency. The A/R Specialist is responsible for billing patient accounts to patients, third-party payors, and governmental payors, which requires a keen attention to detail and a thorough understanding of the billing process. In addition to billing, the A/R Specialist will engage in follow-up activities to collect physician claims, manage denials from third-party and governmental sources, and identify self-pay balances after insurance payments have been processed. The role also includes prompt secondary billing and maintaining timely and accurate documentation of the collection status of patient accounts. This position demands a high level of computer proficiency and technical aptitude, as the A/R Specialist will utilize various software tools, including Microsoft Office Suite and potentially Meditech or Epic, to perform their duties effectively. The A/R Specialist must possess strong communication skills to interact tactfully with personnel, visitors, patients, physicians, and the general public. The ability to work independently and make informed decisions is essential, as is the flexibility to adapt to changing circumstances. The role requires a commitment to teamwork and the ability to follow both written and oral instructions meticulously. Overall, the A/R Specialist is integral to the financial health of the practice groups they support, ensuring that billing processes are executed smoothly and efficiently.

Responsibilities

  • Billing patient accounts to patients, third party, and governmental payors.
  • A/R follow-up and collection of physician claims.
  • Management of third party and governmental denials.
  • Identification of self pay balances after insurance payments.
  • Prompt secondary billing.
  • Timely and accurate documentation of patient account collection status.

Requirements

  • 2 - 3 years experience in A/R management in a hospital or physician group setting.
  • Previous experience with hospital/physician billing systems preferred.
  • Proficiency in Microsoft Office products (Word, Excel, Outlook).
  • Ability to read, write, and speak English in an understandable manner.
  • Ability to work independently and make independent decisions when necessary.
  • Effective communication skills to interact with personnel, visitors, patients, physicians, and the general public.
  • Flexibility and personal integrity to function effectively as part of a team.
  • Knowledgeable in data entry and filing duties.

Nice-to-haves

  • Experience with Meditech or Epic billing systems.
  • Familiarity with Performance Manager/NetLearning.
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