Accounts Receivable Claims Specialist

🔥 0 minutes ago

🦀 Maryland – Remote

🦀 Maryland – Remote

💵 $18 - $28 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💰 Accounts Receivable

🚫👨‍🎓 No degree required

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👻 Ghost score 0%

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University of Maryland Faculty Physicians

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

📚 Education

🧘 Wellness

Healthcare • Education • Wellness

University of Maryland Faculty Physicians is a clinical group practice affiliated with the University of Maryland School of Medicine that provides a wide range of outpatient medical services, including dermatology, cardiology, ophthalmology, urgent care, facial plastic surgery, and medi-spa treatments. The organization operates multiple patient-facing clinics, offers patient portal services (MyChart), appointment scheduling, billing, and partners with the university for clinical education and faculty-led care.

📋 Description

• Work with payors to resolve partial and full payment denials • Stay current on payer policies and coverage guidelines • Identify payment denials through the work queue and take appropriate action • Communicate professionally with providers when necessary to resolve denied claims • Resubmit corrected claims based on payor policies or provider directions • Appeal claim denials with required information so claims are adjudicated properly • Stay current on correct appeal processes for assigned payors

🎯 Requirements

• High school diploma or equivalent • Minimum 2-3 years of experience in medical billing • Experience with practice management systems and EHR platform • Familiarity with medical terminology and CPT/ICD-10 codes • Strong knowledge of commercial, Medicare, Medicaid, and Tricare medical insurance plans • Knowledge of basic medical coding and third-party operation procedures and practices • Familiarity with Microsoft applications, including Word and Excel • Excellent communication and customer service skills • Strong written and verbal communication skills, including the ability to confidently speak to patients • Excellent organizational skills to manage multiple tasks throughout the day • Ability to operate a multi-line telephone system • Ability to work as a team player in a cohesive medical practice • Ability to communicate and work well with co-workers • Ability to communicate orally and in writing with internal and external business professionals • Must be responsible, reliable, and able to carry out job functions

🏖️ Benefits

• Total rewards package supporting employees’ life, career, and retirement