Who We Are:

LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.

About the Role:

The Recovery Specialist II researches and pursues reimbursement for medical claims that were denied or did not receive contracted payment. The Recovery Specialist II files timely and complete appeals electronically, telephonically or manually in accordance with payer guidelines. Using thorough understanding of payer contracts and claims analysis the Recovery Specialist II determines why the claims were denied or underpaid and requests claims adjudication corrections. Provides supporting documentation or refers payers to reimbursement agreements for resolution of nonpayment.

CANDIDATES MUST RESIDE IN MD, PA, DC, VA or WVA.

KEY RESPONSIBILITIES:

• The Recovery Specialist II researches and pursues reimbursement for medical claims that were denied or did not receive contracted payment.
• The Recovery Specialist II files timely and complete appeals electronically, telephonically or manually in accordance with payer guidelines. Using thorough understanding of payer contracts and claims analysis the Recovery Specialist II determines why the claims were denied or underpaid and requests claims adjudication corrections.
• Provides supporting documentation or refers payers to reimbursement agreements for resolution of non-payment.

REQUIREMENTS:

• High School Diploma, GED equivalent or High School certificate preferred
• 1-3 years of experience resolving medical billing denials.