LRHPG Reimb/Denials/Appeals Spec

• LRHPG-Revenue Cycle Lakeland Regional Health
• 3.7 Lakeland, FL Job Details $17.84
• $20.

53 an hour 1 hour ago Qualifications Customer service Medical office experience Coding for physician billing Patient service High school diploma or GED Productivity software Full Job Description Position Details Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only designated Level 1 Trauma Center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. Active

• Benefit Eligible and Accrues Time Off Work Hours per

Biweekly Pay Period:

80.00

Shift :

Monday

• Friday 8:00 am to 4:30 pm

Location :

210

South Florida Avenue Lakeland, FL Pay Rate :

Min $17.84 Mid $20.53 Position Summary The Reimbursement/Denials/Appeals Specialist is a dedicated following up on all medical billing and claims activity initiated from within a centralized business office. The worker in this role is responsible for thoroughly managing assigned claims with accuracy and on a timely basis for achieving the appropriate reimbursement for services rendered.

Position Responsibilities Standard Work Duties:

AMB Reimb/Denials/Appeals Specialist Follow-up insurance accounts timely and accurately to secure prompt payment to the practice Maximize technology use for timely productivity on claims follow-up and status review Utilize payer websites regularly to optimally perform assigned duties as assigned, and reporting any accessibility issues to supervisor immediately to regain site access Follow set guidelines for the appeals process set by payers, and ensures that claims are contested on a timely manner Follow guidelines set by payers to appeal any denied claims on a consistent and timely basis Proactive approach to communicate errors to the appropriate staff, clinics, physicians, and management. Meets daily productivity goals of 75-100 accounts per day.

Competencies & Skills Qualifications & Experience Essential:

High School or Equivalent Nonessential:

Associate Degree Nonessential:

Business or Healthcare Administration Other information:

Certification Preferred:

Medical Billing and Coding Certification Experience Essential:

• Minimum of 1
• 4 years of recent insurance/Medical A/R collections experience required Experience with billing and coding in a physician practice required Excellent computer skills with prior exposure to use of Microsoft Office suite Experience in customer service field with a medical setting