University of Maryland Faculty Physiciansposted about 1 month ago
Baltimore, MD
Ambulatory Health Care Services
About the position
The position is within the OB/GYN department, focusing on medical billing responsibilities. Duties will include reviewing accounts to determine appropriate insurance follow-up, performing charge entry, posting payments and rejections, and selecting the correct diagnosis and procedure codes based on documentation and payer specificity requirements. The role also involves keeping management informed of billing issues and performing other duties as assigned.
Responsibilities
- Review accounts to determine appropriate insurance follow-up
- Perform charge entry
- Post payments and rejections
- Select correct diagnosis and procedure codes based on documentation and payer specificity requirements
- Keep management informed of billing issues
- Enter charges accurately and timely
- Ensure charges are balanced and reconciled within department guidelines
- Serve as lead worker and trainer for junior level staff
- Reconcile posted and edited payments against the ERA (Electronic Remittance Advice)
- Manually post payments, contractual adjustments, and rejections from EOB's
- Reconcile deposits against bank statements and major vendors
- Balance GE/IDX daily
- Review and resolve credit balance if refunds or contractual adjustments are needed, or charge correction performed
- Perform AR follow up on rejected claims
Requirements
- H.S. diploma or equivalent (GED)
- 3-5 years experience in a medical billing office
- General understanding of complex accounting principles
- PC proficiency
- Accurate data entry skills
- Knowledge of GE/IDX, payers in specialty, FSC's, and pay codes used in GE/IDX system
