Healthcare Appeals Specialist

6 days ago


Owings Mills, Maryland, United States LifeBridge Health Full time

Job Summary

We are seeking a skilled Patient Financial Services Representative Appeals to join our team at LifeBridge Health. This is a full-time position with the opportunity for remote work if you live in Maryland, DC, PA, VA, or WVA.

About the Role

The Patient Financial Services (PFS) division of LifeBridge Health is responsible for facility billing and collections. As a Patient Financial Services Representative Appeals, you will be proactively resolving assigned accounts receivables, processing denied claims on the institutional side, analyzing payor denials, and determining next steps.

Responsibilities

  1. Proactively resolve assigned accounts receivables
  2. Process denied claims on the institutional side
  3. Analyze payor denials and determine next steps
  4. Account Resolution
  5. Appeals
  6. Collections
  7. Remittance Verification
  8. Review claim denials for root cause
  9. Compose and submit appeals to insurance carriers
  10. Follow up on claims to final resolution

Requirements

  1. Formal working knowledge equivalent to an Associate's degree (2 years college)
  2. 3-5 years of experience processing Institutional Appeals for payors

What We Offer

A competitive salary range of $17-$26 per hour, based on experience, as well as potential remote work opportunities. Additionally, we offer a collaborative and dynamic work environment, where you can contribute to the financial success of our health system.

About LifeBridge Health

Lifelong healthcare excellence begins with compassion, dedication, and a passion for healing. As one of the largest healthcare providers in Maryland, with 13,000 team members, we strive to CARE BRAVELY for over 1 million patients annually. Join our team today and discover why we're committed to serving our community with care and compassion.



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