The associate uses highly developed skills, including data analysis, spreadsheet and presentation, in researching/analyzing/documenting/reporting financial, practice and regulatory data in revenue analysis and insurance payment trend projects, as well as identifying and communicating opportunities to maximize and increase revenue retrieval for a portion of approximately one billion dollars of annual accounts receivable. Under general supervision, performs accounts receivable follow-up/collection procedures to obtain timely reimbursement from third-party carriers and other payment sources on highly complicated invoices of Tier III. Leads and coordinates the activities of an assigned payer team responsible for billing, collection, posting payment adjustments as needed, and follow-up functions. In support of day-to-day functioning, the associate requires in-depth understanding of the physician practice revenue cycle, of today’s intricate and complex healthcare market, and of all regulatory and compliance issues involved, as well as excellent technical knowledge of and proficiency with the computer system in use and MPBS’s operational processes. Functioning as back-up to the Follow-Up Supervisor, similar qualities are required of the associate: flexibility, versatility, complex problem-solving skills, orientation to detail, and ability to grasp the big picture of processes and reimbursement issues and all the complex interrelationships involved in the physician revenue billing cycle. These functions are performed in accordance with all applicable laws and regulations and MedStar Health’s philosophy, policies, procedures, and standards.
- High school diploma or GED required.
- Bachelor’s preferred.
- Experience and proficiency using an automated billing system; GE IDX and ETM experience preferred.
- Minimum five years of related experience in hospital/physician patient accounts or equivalent experience is required.
- Experience and proficiency using an automated billing system, GE IDX and ETM experience preferred.
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation and research. Our 30,000 associates and 5,400 affiliated physicians work in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest visiting nurse association in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar is dedicated not only to teaching the next generation of doctors, but also to the continuing education and professional development of our whole team. MedStar Health offers diverse opportunities for career advancement and personal fulfillment.
MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations, and we comply with the federal, state and local laws governing each of those locations.
A qualified individual with a disability will be considered for employment on the same basis as non- disabled applicants if he/she can perform the essential functions of the job sought, with or without a reasonable accommodation, and without imposing a direct threat to the health or safety of others or him/herself.