Works and maintains assigned receivables through work queues, age trail balance reports (ATBs), and special projects to achieve established department goals through resolution of outstanding account balances and reduction of uncompensated care.
Assist with high priority receivable needs, complex accounts and projects assigned by management.
Develops and maintains financial references, including guidelines for reimbursement, state and federal regulations, payer-specific reimbursement policies, procedures.
Works with third party insurances to obtain maximum level of cash to reduce receivable.
Ensures correct processing of outstanding insurance claims by: interpreting insurance payer responses, requesting account level adjustments, submitting appeals and claims reconsiderations, evaluating financial responsibility of patients, resolving insurance denials and claim rejections, performing insurance verification.
Appropriates breakdowns in processes impacting the revenue cycle to end results and intervenes to ensure account resolution.
Company Description The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit www.umms.org.
Qualifications
High School Diploma or equivalent (GED)
3 years' work experience in general collection or accounts receivable oversight.
Additional Information All your information will be kept confidential according to EEO guidelines.
