Patient Accounts Specialist - PreVisit (Evening Shift)

Full time, evening shift position, Monday - Friday, 11:30am - 8:00pm. Remote position but candidates must be local to Maryland for computer equipment pick up and training located in Nottingham, MD.

The Pre-visit team is responsible for providing a positive patient experience by contacting the patients prior to their visit in our facilities to advise of their estimated financial responsibility for the upcoming scheduled service. Once the patient is contacted, we complete pre-registration, pre-collect, check prior open balances and financial screening as appropriate. At time of contact for pre-collection, we offer agreeable payment plans, start the Medicaid application process and complete the financial assistance application. We work closely with the Patient Advocates at each hospital to complete the Medicaid application. We also work closely with Patient Access at all hospitals to collect the time-of-service payment and escalate any financial risk to review. Our goal is to make the patient's first MedStar experience their best experience.

Job Summary - Pre-registers and pre-collects for services designated CFC responsibility. Maintains a professional and courteous behavior to ensure a positive image within the community served and to promote customer satisfaction.

Education

• High School Diploma, GED or equivalent required

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/IDC-9 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.

Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.

Attends training sessions and workshops offered, to include but not limited to, CPAT Training, bulletin review, etc. Attends and successfully completes required Continuing Education Units (CEU) for the PFS Training Program. Completes annual mandatory training (SITEL) within defined time frame.

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.