MEDICAL AR FOLLOW UP SPECIALIST III - LifeBridge Health : Job Details

• Owings Mills, MD
• PRACTICE DYNAMICS, INC.
• LBH PARTNERS REV CYC
• Full-time - Day shift - 8:00am-4:30pm
• Clerical/Administrative
• 85445
• $17.00-$26.00 Experience based
• Posted:December 27, 2024

Summary

JOB SUMMARY:

• The AR Follow Up Specialist is responsible for the efficient use of a variety of medical billing systems and performs tasks for claims processing, and follow up on unpaid claims.
• Researches and resolves denials and payment variances, completing appeals, with the goal of maximizing collections.
• Maintains patient financial records and efficiently documents account notes.
• Achieves established key performance indicator goals for Revenue Cycle.
• Must be flexible, multitask, and performs a variety of duties as requested by Management

REQUIREMENTS:

• Formal working knowledge; equivalent to an Associate's degree (2 years college); requires knowledge of a specialized field
• 5 years of medical AR follow up experience

ADDITIONAL COMMENTS:

Extensive Knowledge of all aspects of insurance including Managed Care, Commercial Insurance, Medicare and Medicaid products. Understands and adheres to state and federal regulations, HIPAA and PHI guidelines. Responsible for a broad range of collection processes related to medical accounts receivable and ensure a proactive approach to maximize and achieve accurate and timely payment. Extensive knowledge in reviewing account balances after payments are applied including all overpayment and underpayment accounts and routinely communicate with payers on all outstanding balances. Strong attention to detail is a must. Extensive knowledge of CPT and ICD 10 coding guideline. Strong ability to work in contract management systems to review and appeal underpayments and denials

Additional Information

As one of the largest health care providers in Maryland, with 13,000 team members, We strive to CARE BRAVELY for over 1 million patients annually. LifeBridge Health includes 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.

Practice Dynamics, Inc., or PDI, was established in 1996 as the medical billing company for LifeBridge Health. PDI provides comprehensive professional billing services for hundreds of physicians and non-physician practitioners rendering services at Sinai Hospital, Northwest Hospital, Levindale Hebrew Geriatric Center & Hospital, Grace Medical Center and Carroll Hospital. PDI excels in both primary care and multi-specialty billing.