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.
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