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General Summary of Position
MedStar's Patient Financial Services is currently seeking a Patient Accounts Specialist to join ourGovernmental Team. Candidates must have at least one year of related patient accounting follow-up experience (experience with facility or physician claims follow-up, researching claim denials and preparing/writing appeals to get claims paid).
Position requireson-site training in Nottingham, Maryland (up to the first 90-days).
The Governmental Team is responsible for the billing and follow up of claims for our governmental insurance plans. The Governmental Plans include a variety of payers such as Tricare, Tricare for Life, ChampVA, Veterans Administration, Optum VACCN and Medicare. Claims are billed via UB04.
Job Summary -Interprets and evaluates appeals to include follow-up with payers to assure timely turn around for claims resolution and reimbursement. Must be able interpret explanation of benefits and have a clear understanding of payer methodology. Works in a team environment. Primary Duties and Responsibilities
Keeps abreast of regulatory and specific changes as it relates to billing requirements and payer specific follow up.Maintains daily performance benchmarks as it applies to interpreting and evaluating appeals to include follow up with payers. Completes coding report updates within the standard set in a timely manner to begin the daily workflow process. Responsible for reconciliation of reports to SMS and information that was posted.Maintains departmental QA standard within established error rate.Meets team specific benchmark as it applies to completed Tracking Forms forwarded to the Operational Desk after completion on a daily basis, >$10K, >$20K, AR15, AR30, and AR45.Participates in PFS workgroups, staff meetings and work events.Participates in multi-disciplinary quality and service improvement teams.
Minimum Qualifications
Education
- High School Diploma or GED required
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Experience
- 1-2 years' experience in patient accounting, accounts receivable or related healthcare field required or an equivalent combination of experience and college education in accounting, finance or healthcare administration required
Knowledge, Skills, and Abilities
- Detailed working knowledge and demonstrated proficiency in at least one specific payers application billing and/or collection process.
- Requires basic working knowledge of UB04 and Explanation of Benefits (EOB).
- Requires some knowledge of medical terminology and CPT/ICD-9/10 coding.
- Excellent communication, analytical, interpersonal, and organizational skills.
- Proficient uses of hospital registration and/or billing systems and personal computers as well as Microsoft Excel and Word applications.
- Ability to type 35 WPM.
This position has a hiring range of $18.70 - $32.72
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MedStar Health
Oct 07, 2025