PATIENT FINANCIAL SERVICES REPRESENTATIVE APPEALS

LifeBridge Health

Owings Mills, MD Posted 1/12/2025 Full Time

PATIENT FINANCIAL SERVICES REPRESENTATIVE APPEALS

  • Owings Mills, MD
  • SINAI CORPORATE
  • Full-time - Day shift - 8:00am-4:30pm
  • Professional
  • 86052
  • $17.00-$26.00 Experience based
  • Posted:January 6, 2025

Summary

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 denialsand 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

Additional Information

As one of the largest health care providers in Maryland, with 13,000 team members, We strive toCARE BRAVELYfor over 1 million patients annually. LifeBridge Healthincludes Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business partners: LifeBridge Health & Fitness, ExpressCare and HomeCare of Maryland.
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JOB LOCATION:
Owings Mills, MD 21117

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