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Full Job Description
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. #BMSSJ
*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 requests 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
* *High school diploma or (GED).*
*
*
Medical Billing & Coding Certificate from an accredited institution
* Strong knowledge of billing process and analyzing EOBs, 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.
Current Employees Must Apply Through Their Kronos Employee
Account
* *Baltimore Medical System (BMS)* is a
community-based, nonprofit organization that provides quality
primary/outpatient care services to underserved communities 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 have a competitive salary based on
experience and generous benefits that include medical, dental, vision,
403b plan, paid time off, eight (8) paid holidays, tuition assistance,
and more!
*“Proof of vaccination is a condition of
employment, subject to verified medical or religious exemptions that
do not pose an undue hardship on the Company.”BMS is an Equal
Opportunity Employer!*
* *Location: 5525 Eastern Avenue,
Baltimore, MD 21224Location: 5525 Eastern Avenue, Baltimore, MD
21224*
Job Type: Full-time
Experience level:
* 3 years
Physical setting:
* Office
Work
Location: In person
