PROFESSIONAL FEE AR SPECIALIST Full Time

Summary:

The University of Maryland Medical System (UMMS), a leading academic private health system in Maryland, seeks a Professional Fee AR Specialist to manage patient accounts, reduce accounts receivable, and ensure accurate billing and reimbursement. The role includes account evaluation, payer communication, and financial resolution while providing excellent customer service.

Responsibilities:

• Responsible for defined accounts receivable and accountable for reduction in line with management goals.

• Work with third-party insurance and payer contracting to maximize cash recovery.

• Review accounts for billing accuracy and resolve problems related to pre-certification and account status.

• Handle patient concerns professionally and provide timely responses.

• Follow departmental guidelines for managing delinquent accounts.

• Utilize compassionate care programs appropriately.

• Research funding options for financially needy patients.

• Refer patients to the Medical Assistance Eligibility team.

• Record data to improve collection procedures and share with team and administrators.

• Update and view data in all accessible systems.

• Assist with new staff training.

• Accommodate visitors with accurate information and professionalism.

• Perform appeals process as needed.

• Promote account accuracy through transaction reviews.

• Maintain understanding of financial guidelines, reimbursement, and regulatory policies.

• Notify supervisor of problematic accounts.

• Use letters for large-scale communication with patients and insurers.

• Manage self-pay accounts, update documentation in Resolute, and liaise with outside vendors.

• Handle all patient correspondence.

Requirements:

• High School Diploma or equivalent required; Associate’s Degree preferred.

• Three years of Professional Fee billing experience required.

• Knowledge of collection laws, medical coding (CPT & ICD-9/10), third-party billing guidelines, and medical terminology preferred.

• Ability to perform mathematical calculations.

• Proactive problem-solving and data interpretation skills.

• Ability to use PC applications like spreadsheets and word processing.

• Strong oral and written communication skills.

• Ability to meet quality performance standards.

• Maintain a culture of excellent customer service and positive staff relations.

Benefits:

• Hourly pay range of $22.57 to $31.59.

• Additional benefits as outlined in the 2024–2025 UMMS Benefits Guide.

• Confidentiality of personal information in accordance with EEO guidelines.

Tagged as: Accounts Receivable, Medical Billing, United States, University of Maryland