Perform accounts receivable follow-up/collection procedures to obtain timely reimbursement from third-party carriers and other payment sources. Perform collection activity for assigned divisions, third-party carriers and individual providers. Maintain contacts with third-party carriers and communicate billing/reimbursement changes to management in a timely manner. Assist in evaluation of A/R and participate in development of collection strategies to decrease outstanding A/R. These functions are performed in accordance with all applicable laws and regulations and Georgetown University Hospital's philosophy, policies, procedures and standards.
- High school diploma or GED; some college preferred.
- Minimum two (2) years collection experience in medical billing operations.
- Experience and proficiency using an automated A/R billing system.
- Knowledge of ICD9 and CPT4 coding as it relates to third-party carrier reimbursement.
- Knowledge of federal, state and local legal and regulatory provisions that relate to collection activities.
- Knowledge of third-party carrier operating procedures and practices, particularly as they relate to levels and methods of reimbursement.
- Skill in defining problems, collecting data and interpreting billing information.
- Ability to examine documents for accuracy and completeness to prepare records in accordance with detailed instructions.
- Proficiency in use of computer and calculator.
- Excellent oral and written communication required.
- Excellent interpersonal and customer service skills required.
- Thrive in a deadline-driven, team-oriented environment.
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MedStar Georgetown University Hospital - 15 months ago
MedStar Georgetown University Hospital is a not-for-profit, acute-care teaching and research hospital with 609 beds located in Northwest...