Description
The Accounts Receivable (AR) Specialist is responsible for following up on third-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 that will impact the processing of claims and/or our ability to collect for services rendered, ultimately, and maintains a positive working relationship with the payer representative to ensure problem resolution. Answers all billing calls from patients.
Schedule/Hours
Monday - Friday | 800 AM to 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 requests refund letters for credits
- Contact 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 the billing process and analyzing EOB's
- 3 years of experience with ICD-10 coding, HCPCS, and CPT coding guidelines in order to identify trends, correct claims, and resubmit for payment.
- Comprehensive knowledge of all the nuances of each payer regulation according to company contracts and FQHC regulations.
Summary
Baltimore Medical System (BMS) is a community-based, nonprofit organization that provides quality primary/outpatient care services in the Greater Baltimore area. BMS is the largest FQHC in Maryland, and we offer a variety of comprehensive primary and behavioral health services through five (5) community health centers and eight (8) school-based health centers. We offer a competitive salary based on experience and generous benefits (single and family) for employees working 30 or more hours per week, which include medical, dental, vision, a 403(b) retirement plan, paid time off, paid holidays, tuition assistance, and more.