The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women's and children's health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you’ll enjoy as a member of our team. UMMS is currently seeking an Accounts Receivable Clerk for our Hunt Valley location.
Under direct supervision, perform a variety of clerical duties to include setting-up and maintaining records and filing systems, preparing standard reports, using the PC to process billing data, and gathering information related to patient billing.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
1. Plans work for self and with the team, including setting goals, prioritizing work and coordinating the execution of work. Interprets data and reports to determine work priorities and resource allocation across multiple billing and collections tasks, for themselves and their work team.
2. Analyzes payer remittances to post rejections to patient accounts. Determines patient balances after insurance reimbursement and transfers account balances accordingly. Determines secondary insurance liability and requests bills to the appropriate payer. Maintains remittance files for payer teams and summarizes information, as needed.
3. Supports the billing process by matching UB92s with detail bills. Sorts and disseminates bills to Financial Receivable Coordinators (FRC) as appropriate. Mails, couriers, or Faxes claims to payers. Sorts and delivers departmental mail.
4. Codes, indexes, classifies, duplicates, and purges billing related materials, such as, correspondence, reports, and technical documents accurately and in a timely manner in accordance with established departmental, state, and JCAHO standards and procedures. Interprets, sorts, and files incoming and outgoing documents in accordance with established filing systems.
5. Analyzes data to create documents and reports using personal computers and related software to support payer team and departmental reporting requirements. Uses personal computers and related software to accurately and efficiently enter data to create forms, memoranda, statistical tables, letters, and reports.
6. Operates and assists in the care and maintenance of department office equipment. Maintains inventory of office area PC and printer supplies; distributes supplies to department personnel upon request.
7. Responds to patient, lawyer, auditor, and collection agent requests for information, and/or replicated documents. Ensures patient confidentiality is maintained at all times. May prepare manual bills, in accordance with standard departmental procedures.
8. Enters and/or corrects patient information via on-line, patient computer system, updates records, as needed.
9. Prepares, sets-up, processes and transmits patient refunds, payroll, and/or leave information.
10. Gathers and records data used for individual, team, and feedback performance reporting. Responsible for the integrity of recorded information.
11. Communicates effectively with immediate supervisor. Provides information regarding work progress, actions and issues in a timely and effective manner.
12. Actively and continuously improves work processes. Uses continuous improvement tools and methods to improve individual, team and cross-departmental performance. Bases improvements on customer requirements, data, root-cause analysis and outcomes. Provides guidance and instruction to fellow employees where skills are in need of improvement, as needed.
13. Continuously develops and enhances skills in areas such as service quality improvement, billing, collection, customer service, personal computer software applications, and interpersonal skills. Participates in UMMS educational opportunities.
1. Demonstrated ability in the use of personal computers and related software, such as spreadsheet, word processing, and database management packages preferred; ability to learn these skills are required.
2. Demonstrated ability to perform basic mathematical calculations including addition, subtraction, multiplication, and percentage using a calculator or related equipment.
3. Ability to type a minimum of forty words per minute is preferred.
4. Highly effective verbal communication skills, including; courtesy, resourcefulness and efficiency in answering questions, providing information to requesters, and explaining billing policies and procedures are required. Effective writing skills are also required to accurately record billing data, receipts, and logs.