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    patient accounts specialist ii - Baltimore, United States - Mt. Washington Pediatric Hospital

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    Full time
    Description

    JOB SUMMARY – Patient Accounts Specialist (Biller)

    The Patient Billing Specialist prepares all third party and patient bills, as organized and directed by the Patient Accounts Manager/Director. May include claim follow up.

    ESSENTIAL FUNCTIONS OF POSITION

  • Responsible for reviewing and submitting clean claims to third party payers
  • Maintain patient billing files through electronic records system
  • Review and assess adjudicated claims for timely and proper payment of outstanding balances
  • Research, correct and resubmit or reprocess unpaid claims as necessary
  • Resolve issues related to insurance claims
  • Work correspondence and other department inquiries
  • Identify payer denial trends
  • Meet productivity goals/benchmarks as set and communicated Department leadership
  • Serve as a customer service representative for patient inquiries/calls
  • Maintain confidentiality of patient information
  • Work collaboratively with other departments and coworkers as needed
  • Follows up with resolving billing issues in a prompt and courteous manner
  • Rectifies billing issues with outside funding sources and with other administrative staff
  • POSITION REQUIREMENTS

    Educational Requirements: High School Diploma or GED

    Licensure, Certification and Registration: NA

    Work Orientation and Experience:

    2-3 years prior experience in hospital and/or professional billing

    Knowledge, Skills and Abilities:

    Strong analytical skill a must

    Must be able to work unsupervised

    Must be able to work with a calculator, PC and Excel

    Extremely accurate with figures and data entry

    Strong payer knowledge base

    Experience with SSI and/or Meditech Expanse a plus

    REPORTING RELATIONSHIPS

    Supervision Received by: Manager and Director of Patient Accounts

    INTERPERSONAL RELATIONSHIPS

    Communicates daily in person or by telephone with hospital staff and insurance companies. Must be able to handle sensitive situations in a professional manner.

    TOOLS/EQUIPMENT USED

    Calculator, Fax machine, PC, Telephone, Internet, Copy machine, Printer.

    PHYSICAL ENVIRONMENT/WORKING CONDITIONS

    Typical health care environment, stress due to multiple demands, shifting priorities and tight timeframes. Little or no risk of exposure to body fluids, infectious waste or blood borne disease.

    This job description identifies the general nature and level of work to be performed. It is not to be considered an exhaustive list of responsibilities, duties or skills required of an incumbent.



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