Accounts Receivable Specialist - Bilingual, Baltimore Medical System, Baltimore, MD
Baltimore Medical System -
N/A
Baltimore, MD,
US
N/A
Accounts Receivable Specialist - Bilingual
Date Posted: 2024-06-18
Job description
Description
"Do you love Baltimore? Do you want to do meaningful work for a company that serves your community? Do you want to be off evenings and holidays but still earn a fair and competitive wage? Look no further because BMS is your dream come true!"
The Accounts Receivable Specialist is responsible for the follow up of 3rd party claims, correspondence, credits, and denials. Maximizes revenue by monitoring claims and remittances, filing appropriate appeals, and processing denied charges. The AR Specialist maintains strong working relationships with ancillaries and center staff in order to address any issues which will impact the processing of claims and/or our ability to ultimately collect for services rendered: and, maintains a positive working relationship with the payer representative to ensure problem resolution. Answers all billing calls from patients.
THIS IS AN ONSITE HYBRID POSITION FOR A BILINGUAL CANDIDATE
Schedule/Hours:
Mon-Fri; 8:00 AM - 4:30 PM
Essential Functions:
Reviews accounts and maintains accurate documentation
Processes AR timely focusing on unpaid claims in the appropriate buckets
Resubmits corrected claims when necessary, and follows-up on all correspondence
Ensures correct payments are being received. Submits appeals as needed
Generates refunds and request refund letters on credits
Contacts insurance companies with any questions or issues
Answer patient calls received through the billing line
Obtains credit card information for patient payments
Requirements
High school diploma or (GED).
Medical Billing & Coding Certificate from an accredited institution
A strong knowledge of billing process and analyzing EOB's, 3 years experience with ICD-10 coding, HCPCS, and CPT coding guidelines in order to identify trends, correct claims, and resubmit for payment.
Comprehensive knowledge on all the nuances of each payer regulation according to company contracts and FQHC regulations.