Adventist HealthCare ยท 4 months ago
Reimbursement Team Lead, Day Shift, Patient Financial Services
Gaithersburg, MD
Full-time
Onsite
Senior Level
$22.09/hr - $29.74/hr
2+ years expAdventist HealthCare is a faith-based organization committed to providing high-quality, compassionate care. They are seeking an experienced Reimbursement Team Lead for their Patient Financial Services department to coordinate billing claims, support denials prevention efforts, and ensure accurate claim submissions.
Health CareHome Health CareHospitalNon ProfitRehabilitationWellness
Responsibilities
Coordinate and monitor billing claims electronically as well as hardcopy
Submit adjusted claims due to audits, changes to charges, diagnosis, billing codes, and DRG
Understand and review bills both UB04 and/or 1500 forms to third-party payers daily
Supports the denials prevention effort to collaborate on ways to prevent denials due to billing concerns or challenges
Communicate and coordinate with Clinical Coders when issues arise due to coding edits
Ensure filing of all secondary and tertiary claims after primary claims have been paid
Work on all assigned claims daily by resolving edits, payer rejections, validating claim errors, and forwarding claims to other departments as needed
Handles all customer calls, both internal and external in a professional and courteous manner
Steps into billing work queues and associated tasks to review, analyze, and provide corrective action
Works in EHR system to troubleshoot and escalate any barriers or concerns to the manager in a timely and clearly articulated, and documented format
Work with the team to keep workqueues at agreed-upon levels to keep on task with department goals and objectives
Report updates and findings to Billing Supervisor and PFS leadership as needed
Qualification
Required
Good organizational, written, and verbal communication skills
Ability to perform comfortably in a fast-paced, deadline-oriented work environment
Ability to work as an independent contributor
Proficiency in Microsoft Office, including Outlook, Word, and Excel
Strong attention to details and accuracy, using problem-solving skills
At least 2-4 years of experience in billing expertise in an acute care setting
High School Diploma required; some college preferred
Preferred
Fluency in Cerner and/or claims scrubber activities is desirable
Familiarity with Cash Posting functions and duties in an Acute Hospital setting preferred
Benefits
Work life balance through nonrotating shifts
Recognition and rewards for professional expertise
Free Employee parking
Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire
Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)
Paid Time Off
Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period
Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance
Subsidized childcare at participating childcare centers
Tuition Reimbursement
Employee Assistance Program (EAP) support
Company
Adventist HealthCare
Adventist HealthCare is an integrated, health-care delivery organization.
5001-10000 employees
H1B Sponsorship
Adventist HealthCare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (25)
2024 (11)
2023 (6)
2022 (23)
2021 (15)
2020 (12)
Funding
Current Stage
Late StageLeadership Team
Joseph Tucker, CPA
Vice President and Chief Financial Officer
Seleem Choudhury
Chief Operating Officer
Recent News
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2025-07-11
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2025-06-11
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