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    Patient Account Representative III - Baltimore, United States - University of Maryland Faculty Physicians

    University of Maryland Faculty Physicians
    University of Maryland Faculty Physicians Baltimore, United States

    5 days ago

    Default job background
    Description
    Conducts such activities as account investigation, follow-up and collections on unusual and complex accounts. Serves as lead worker and trainer for junior level staff; and other duties as assigned.

    EDUCATION and/or EXPERIENCE


    • High school diploma or general education degree (GED) preferred
    • Three or more years of experience in a medical billing office
    • General understanding and application of basic accounting principles
    • PC proficiency
    • Knowledge of GE, EPIC or similar computerized billing system
    • Knowledge of payers in specialty
    • Knowledge of ICD-10 and CPT coding preferred
    • Understanding of: FSC's and paycodes used in GE system, contractual requirements for the job; importance of compliance with all government regulations regarding billing

    ESSENTIAL JOB FUNCTIONS

    • Serves as lead worker and trainer for junior level staff.
    • Enters charges accurately and timely, ensures charges are balanced and reconciled within department guidelines.
    • Reconciles posted and edited payments against the ERA (Electronic Remittance Advice).
    • Manually posts payments, contractual adjustments and rejections from EOB's.
    • Reconciles deposits against bank statements and major vendors, Balance GE/IDX daily.
    • Breakdown of deposits by payer or FSC.
    • Reviews and resolve credit balance if refunds or contractual adjustments are needed, or charge correction performed.
    • Performs AR follow up on rejected claims.
    • Performs consistent follow up on open invoices by insurance class utilizing PCS or ATB.
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