- Works and maintains assigned receivables through work queues, age trail balance reports (ATB's), and special projects to achieve established department goals through resolution of outstanding account balances and reduction of uncompensated care.
- Works with third party insurances to obtain maximum level of cash to reduce receivable.
- Reviews financial references, including guidelines for reimbursement, state and federal regulations, payer-specific reimbursement policies, procedures.
- Ensures correct processing of outstanding insurance claims by: interpreting insurance payer responses, requesting account level adjustments, submitting appeals and claims reconsiderations, evaluating financial responsibility of patients, resolving insurance denials and claim rejections, performing insurance verification.
- Concern for quality and ability to identify errors and implement corrections.
- Effective verbal and written communication skills are necessary in dealing with a variety of healthcare and finance professionals including senior management staff.
- Ability to work effectively in a matrix work environment and to manage multiple deadline-driven tasks and projects.
- Minimal knowledge or demonstrated ability to learn and understand HSCRC/CMS regulations, CPT (Current Procedural Terminology), and ICD-10 coding.
- Ability to operate a personal computer is required. Proficiency with the following applications is required: MS Excel, MS Word, and PowerPoint. MS Access, SAS, and Tableau is preferred.
- Ability to handle confidential issues with integrity and discretion.
- Ability to prioritize and manage work in a stressful environment.
- High School Diploma or equivalent (GED)
- 1 year work experience in general collections, accounts receivable oversight or customer service
-
Quality Representative Hybrid
1 week ago
Eurofins USA Consumer Product Testing Baltimore, United StatesJob DescriptionHybrid - onsite and remote.This position requires on-site support. Candidates must live within commutable distance to one of our US locations: Baltimore, Santa Clara, Plano, Irvine, Austin, Cary.Principal Responsibilities/Duties:Maintenance of a clearly defined and ...
-
Quality Representative Hybrid
1 week ago
Eurofins USA Consumer Product Testing Baltimore, United StatesJob Description · Hybrid - onsite and remote. · This position requires on-site support. Candidates must live within commutable distance to one of our US locations: Baltimore, Santa Clara, Plano, Irvine, Austin, Cary. · Principal Responsibilities/Duties: · Maintenance of a cle ...
-
University of Maryland Medical System Baltimore, United StatesJob Description · Job DescriptionCompany Description · This is a hybrid position requiring some onsite time in Hunt Valley. · The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland ...
-
CRC Insurance Baltimore, United StatesThe position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. · Need Help? · If you have a disability and need assistance with the application, you can requ ...
-
University of Maryland Medical System Baltimore, United StatesJob Description · If your skills, experience, and qualifications match those in this job overview, do not delay your application. · Overview · Under general supervision this position supports the vision and mission for the University of Maryland Medical Systems, a multi-billion ...
-
Outside Sales Representative
3 weeks ago
COMTEC INFORMATION SYSTEMS Baltimore, United StatesJob Overview: · **Responsibilities**: · - Conduct market research to identify potential customers and evaluate their needs · - Develop and implement strategic sales plans to achieve sales targets · - Build and maintain long-term relationships with new and existing customers · - A ...
-
Special Assistant People's Counsel
2 weeks ago
Office of People's Counsel Baltimore, United States**DESCRIPTION** · The Office of People's Counsel ("OPC") is an independent Maryland State agency that advocates for Maryland's residential utility consumers. OPC represents the interests of residential customers of natural gas, electric, private water, and telecommunications util ...
-
Office of the Attorney General- State of Maryland Baltimore, United States Part timeThe Attorney General is the chief legal officer of the State of Maryland. The Office of the Attorney General (OAG) has the general charge, supervision, and direction of the State's legal business, acting as legal advisors and representatives of the major agencies, various boards, ...
-
Mail Clerk
2 weeks ago
Progressive Technology Solutions Baltimore, United StatesPURPOSE: · ESSENTIAL FUNCTIONS: · 30% Ships and receives office supplies and materials. · 25% Weighs and prepares shipments. · 25% Operates postage meter. · 20% Picks-up packages inside and outside the office. · **Qualifications**: · To perform this job successfully, an individua ...
-
Manager Contract Administration 2
16 hours ago
Northrop Grumman Baltimore, United States Full timeRequisition ID: R · Category: Business Management · Location: Baltimore, Maryland, United States of America | Linthicum, Maryland, United States of America · Clearance Type: Secret · Telecommute: Yes-May consider hybrid teleworking for this position · Shift: 1st Shift (United St ...
-
Office of the Attorney General- State of Maryland Baltimore, United StatesThe OAG is seeking applicants for the position of Assistant Attorney General in the Courts and Judicial Affairs Division. The Assistant Attorney General will primarily provide advice to the 24 elected Clerks of the Circuit Court and their respective offices' departments including ...
-
Ar Collection Specialist
2 weeks ago
United Way of Central Maryland Baltimore, United StatesThis position receives pledge payments from various sources such as lockbox, postal mail, and Electronic Funds Transfer (EFT). Each payment to be coded to the appropriate donor account, campaign, campaign year and pledge type. This position also processes non-campaign related rec ...
-
Sr Principal Quality Supplier Engineer
16 hours ago
Northrop Grumman Baltimore, United States Full timeRequisition ID: R · Category: Engineering · Location: Baltimore, Maryland, United States of America · Clearance Type: Secret · Telecommute: Yes-May consider hybrid teleworking for this position · Shift: 1st Shift (United States of America) · Travel Required: Yes, 10% of the Time ...
-
Epic Application Coordinator Jr Level
2 weeks ago
Johns Hopkins Health System Baltimore, United StatesHybrid (Monday-Friday) 8:30am-5:00pm · There might be a need for weekend work Special Project and Go Lives · Johns Hopkins Medicine has **FIVE **levels to its Application Coordinator roles. This enriching and rewarding career opportunity was created to fit a variety of skill sets ...
-
Able Program Coordinator
2 weeks ago
State of Maryland Baltimore, United States**Introduction**: · **_Work for the Maryland State Treasurer's Office to educate people with disabilities to allow a method to save and invest for their future_** · The ABLE Department provides people with disabilities a method to save and invest without jeopardizing means tested ...
-
Solar Sales Representative
3 weeks ago
Greener Planet Baltimore, United StatesNew Rep Sign-On Bonus · Average Annualized Compensation of First Year Sales Representatives · - $150,000-$300,000 · Getting more out of your life and career starts now · When you join our team you'll have an opportunity to be a leader in one of the fastest growing industries. We ...
-
Director, Business Operations
2 weeks ago
The Maryland Department of Enviorment Baltimore, United StatesThe Director position is a pivotal leadership role overseeing the development and implementation of policies, programs and projects that achieve the Secretaries priorities and the Agency's mission. The Director will lead staff in establishing performance measures, standard operat ...
-
Ld. Database Administrator
3 weeks ago
Progressive Technology Solutions Baltimore, United StatesGeneral Information · Job Description: PURPOSE: · ESSENTIAL FUNCTIONS: · 20% Maintains and documents shell scripts and batch processes. Develops and applies procedures for periodic database backup.Executes processes in SQL for databases such as stored procedures/functions/package ...
-
Business Accreditation Specialist
2 weeks ago
Better Business Bureau of Greater Maryland Baltimore, United StatesAre you an experienced tele-sales professional looking for a rewarding hybrid sales position with an organization you can be proud to represent? Are you in search of a sales career that offers a great work/life balance? Are you a person who likes to work for a greater cause, know ...
-
Principal Engineer RF Microwave Design
16 hours ago
Northrop Grumman Baltimore, United States Full timeRequisition ID: R · Category: Engineering · Location: Baltimore, Maryland, United States of America · Clearance Type: Interim Secret · Telecommute: Yes-May consider hybrid teleworking for this position · Shift: 1st Shift (United States of America) · Travel Required: Yes, 10% of ...
Patient Commercial Insurance or Managed Care Accounts Receivable Representative, Hybrid - Baltimore, United States - University of Maryland Medical System
Description
Job Description
Job DescriptionCompany DescriptionThis is a hybrid position requiring some onsite time in Hunt Valley.
The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women's and children's health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you'll enjoy as a member of our team.
Job DescriptionOverview
Under general supervision this position supports the vision and mission for the University of Maryland Medical Systems, a multi-billion dollar, regional healthcare facility. Expectations include, but are not limited to, Insurance verification, evaluating financial responsibility of patients, updating accounts to a billable/collectible status, researching denials, claim rejections, and delays in reimbursement, utilizing all possible means to resolve accounts, which include contacting patients, insurance companies and other departments. Assists the department by organizing collection procedures and meeting performance goals while adhering to current laws and payer regulations and reducing uncompensated ca
Key Responsibilities
Knowledge, Skills and Abilities
All your information will be kept confidential according to EEO guidelines.