• PATIENT FINANCIAL SERVICES REPRESENTATIVE APPEALS

    LifeBridge Health • Owings Mills, MD 21117

    Job #2814286557

  • POTENTIAL FOR REMOTE WORK IF YOU LIVE IN THE FOLLOWING STATES: MARYLAND, DC, PA, VA, WVA

    LifeBridge Health Corporate Business Office (CBO) offers remote, hybrid and on-site positions that specialize in providing Patient Financial Services (PFS) within the Revenue Cycle Division. We service five hospitals with total annual net revenue that exceeds $1.7 billion dollars. PFS is responsible for facility billing and collections; specifically Financial Clearance, Claim Submission and Follow-Up, Appeals, Cash Applications and Customer Service. We take pride in serving our patient's financial needs during times of stress and uncertainty, as well as contributing to the financial success of the health system.

    JOB SUMMARY:

    • Proactively and aggressively resolves assigned accounts receivables
    • Processes denied claims on the institutional side
    • Analyze payor denials and determine next steps
    • Account Resolution
    • Appeals
    • Collections
    • Remittance Verification
    • Reviews claim denials for root cause
    • Composes and submits appeals to insurance carriers
    • Follows up on claims to final resolution

    REQUIREMENTS:

    • Formal working knowledge; equivalent to an Associate's degree (2 years college); requires knowledge of a specialized field.
    • 3-5 years of experience processing Institutional Appeals for payors

    KEY WORDS:

    Appeals

    Denials

    Collections

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