Facility Claim Follow-Up Representative
Position: Patient Accounts Specialist – Non-Government Follow-Up Location: Remote (Quarterly in-house requirement) Duration: 6-month Contract-to-Hire Shift: M-F 8:00-4:30 ET Interview Process: • One-and-done 30 min interview via Teams Day-to-Day Responsibilities The Patient Accounts Specialist will work on the Non-Government Follow-Up team, handling commercial, HMO, MCO, Medicare Advantage, and Workers’ Comp payers for MedStar Health facilities. Responsibilities include: • Follow-up on facility claims after billing (not professional claims). • Research claim denials and prepare/write appeals to secure payment. • Contact patients for updated insurance information. • Work directly with insurance companies for resolution. • Manage 60 accounts per day (Level 1); audited quarterly and need 95% accuracy. • Interpret Explanation of Benefits (EOB) and payer methodology. • Utilize hospital registration/billing systems and Microsoft Excel/Word. Must Haves • 1–3 years of experience in patient accounting/accounts receivable or related healthcare field. • Follow-up experience with Blue Cross • Facility follow-up experience (Not Profee) • Knowledge of UB04, EOB, medical terminology, CPT/ICD-9 coding. (basic understanding is okay) • High school diploma or GED required Plusses • Experience with systems like Envision and RCI work queue. Apply tot his job