AR Specialist/Credits

Mercy Medical Center•Baltimore, MD

22d•Hybrid

About The Position

Mercy Medical Center is hiring an AR Specialist/Credits to process Medicaid refunds and support the billing process, including reviewing and preparing hospital claims. The role ensures clean claims are submitted to the correct third-party payer to minimize payment turnaround time and maintain positive hospital cash flow. The specialist follows up until payment or rejection is received and works with other finance departments to resolve problems and meet customer expectations. The position may be performed mostly remotely after successful training, with periodic onsite work required.

Requirements

High school diploma or GED.
One year of experience preferred.
Keep up to date with required Epic upgrade training when necessary.
Computer proficiency and technical aptitude, including the ability to use applicable systems and tools such as Microsoft Word, PowerPoint, Excel, Outlook, Meditech, Epic, Performance Manager/NetLearning, and Right Fax.
Ability to read, write, and speak English understandably.
Ability to work independently and make independent decisions when circumstances warrant.
Ability to communicate effectively and deal tactfully with personnel, visitors, patients, physicians, customers, and the general public.
Flexibility, personal integrity, and ability to function effectively as part of a team.
Ability to follow written and oral instructions.
Ability to set priorities and handle multiple projects under deadlines.
Ability to make decisions that may have legal, ethical, and financial impact on the organization.

Nice To Haves

Medicaid experience, especially credits.

Responsibilities

Process Medicaid refunds.
Review and prepare hospital claims as part of the billing process.
Ensure clean claims are billed to the correct third-party payor to minimize payment turnaround time and maintain positive cash flow.
Perform follow-up until a payment or rejection is received.
Work with other finance departments, take initiative, operate efficiently, and correct problems to meet customer expectations.
Perform all duties within the department when circumstances warrant.

Benefits

Competitive health, prescription, vision, and dental benefits and wellness credit for eligible employees.
403(b) retirement plan with company match and a catch-up provision.
Paid time off and company-paid holidays.
Tuition reimbursement.
Mental health resources and other employee wellness opportunities through the Employee Assistance Program.
Employer-paid short- and long-term disability benefits for eligible employees.
Voluntary benefits.
Discounts on auto and home insurance and Verizon plans.
Mercy's Rewards & Recognition Program.
Hybrid work after successful training, mostly remote with periodic onsite work required.