Revenue Cycle: Payer AR & Appeals Specialist

luminishealth

Annapolis (MD)

On-site

USD 28,000 - 37,000

Full time

5 days ago
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Benefits offered by this job

Medical Insurance
Dental Insurance
Vision Insurance
Retirement Plan
Paid Time Off
Tuition Assistance
Referral Bonus
Paid Holidays
Disability Insurance
Life/AD&D
Wellness Programs
Employee Assistance Program

Job summary

Luminis Health in Annapolis, MD is seeking a Patient Accounts Specialist to follow up on third-party payer accounts receivable and appeals. You will work within the Patient Financial Services team to optimize cash flow and support the revenue cycle.

The role requires a High School diploma (Associate's preferred) and at least two years in hospital AR or related billing experience, with strong communication and regulatory knowledge. The position offers competitive pay and comprehensive benefits.

Qualifications

  • High School Diploma required.
  • Associate's degree preferred.
  • Minimum two years of experience performing hospital accounts receivable or related billing experience.

Responsibilities

  • Follows up on third-party payer accounts receivable and appeals.
  • Ensures billing and collection support revenue cycle functions of claims submission.
  • Acts as liaison with patients, other departments and PFS teammates for claims processing and payment.
  • Interacts with regulatory agencies to ensure compliance with billing and reimbursement requirements.
  • Keeps current on regulatory requirements regarding billing and reimbursement for payer requirements and statutes.
  • Obtains health insurance information and approvals needed for services as appropriate.
  • Communicates with all departments as needed.
  • Facilitates resolution of third-party receivables by contacting external departments and payors.
  • Performs standard work daily including third-party follow up and reporting activities.

Skills

Accounts receivable
Billing knowledge

Education

High School Diploma
Associate's degree preferred

Job description

Luminis Health in Annapolis, MD is seeking a Patient Accounts Specialist to follow up on third-party payer accounts receivable and appeals. You will work within the Patient Financial Services team to optimize cash flow and support the revenue cycle.

The role requires a High School diploma (Associate's preferred) and at least two years in hospital AR or related billing experience, with strong communication and regulatory knowledge. The position offers competitive pay and comprehensive benefits.

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