Patient Financial Services Reimbursement Analyst 1
Danbury, CT Danbury, CT Full-time Full-time $15.
30 - $28.
22 an hour $15.
30 - $28.
22 an hour 1 day ago 1 day ago 1 day ago Nuvance Health is a network of convenient hospital and outpatient locations -- Danbury Hospital, New Milford Hospital, Norwalk Hospital, and Sharon Hospital in Connecticut and Northern Dutchess Hospital, Putnam Hospital Center, and Vassar Brothers Medical Center in New York -- plus multiple primary and specialty care physician practice locations including The Heart Center, a leading provider of cardiology care.
Non-acute care is offered through our affiliates, THIS JOB WILL FOCUS ON CUSTOMER SERVICE/CALL CENTER RESOLVING CLAIMS ISSUES AND/OR MEDICAL/HEALTHCARE INSURANCE CLAIMS PROCESSING Excellent customer service & healthcare/medical experience required
Summary:
Maintain accurate and timely claim submission for designated accounts by payer.
Insure claims are compliant with State and Federal billing regulations and contractual obligations.
Collect cash from third-party payers and patients.
Expedite inquires by mail or phone.
Insure accurate and timely application of cash received.
Process statements to insure an effective billing system.
Responsibilities:
Accurate, timely, and compliant claim submission Confirmation of electronic and hard-copy billing of any delinquent claims; rebilling & follow-up of delinquent claims Respond to patient and payer inquiries, denials, correspondence, and telephone inquires Maintain reports/ contract management files and records, as needed; i.
e.
, medical records, referrals, pre-certification letters, etc.
Advise other areas of updated insurance information and claim denials; i.
e.
, registration Follow-through with education of rules and regulations in the managed care system, as well as, State & Federal guidelines Adjust account balances to specific account needs; i.
e.
, capitated labs Maintain Contract Management reporting, i.
e.
, payment errors, carve-out billings, and update information Apply cash received to appropriate accounts; refund overpayments Requirements:
High School diploma or equivalent Minimum of six months of data entry and/or customer service experience Preference given to applicants with experience in billing and collections or Medical Office/Healthcare experience Location:
The Summit, 100 Reserve Road.
, Danbury, CT Work Type:
Full-Time/Hybrid Work Shift:
8:
30am-5pm Monday - Friday; Hybrid Exempt:
No Grade:
S3 Salary Range:
$15.
30 - $28.
22 Hourly Working Conditions:
Significant manual skills / motor coordination & finger dexterity Little or no potential for occupational risk Sedentary/light effort, may exert up to 10 lb.
force Generally pleasant working conditions EOE including disability/veterans We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business.
If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only).
Please provide all information requested to assure that you are considered for current or future opportunities.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
30 - $28.
22 an hour $15.
30 - $28.
22 an hour 1 day ago 1 day ago 1 day ago Nuvance Health is a network of convenient hospital and outpatient locations -- Danbury Hospital, New Milford Hospital, Norwalk Hospital, and Sharon Hospital in Connecticut and Northern Dutchess Hospital, Putnam Hospital Center, and Vassar Brothers Medical Center in New York -- plus multiple primary and specialty care physician practice locations including The Heart Center, a leading provider of cardiology care.
Non-acute care is offered through our affiliates, THIS JOB WILL FOCUS ON CUSTOMER SERVICE/CALL CENTER RESOLVING CLAIMS ISSUES AND/OR MEDICAL/HEALTHCARE INSURANCE CLAIMS PROCESSING Excellent customer service & healthcare/medical experience required
Summary:
Maintain accurate and timely claim submission for designated accounts by payer.
Insure claims are compliant with State and Federal billing regulations and contractual obligations.
Collect cash from third-party payers and patients.
Expedite inquires by mail or phone.
Insure accurate and timely application of cash received.
Process statements to insure an effective billing system.
Responsibilities:
Accurate, timely, and compliant claim submission Confirmation of electronic and hard-copy billing of any delinquent claims; rebilling & follow-up of delinquent claims Respond to patient and payer inquiries, denials, correspondence, and telephone inquires Maintain reports/ contract management files and records, as needed; i.
e.
, medical records, referrals, pre-certification letters, etc.
Advise other areas of updated insurance information and claim denials; i.
e.
, registration Follow-through with education of rules and regulations in the managed care system, as well as, State & Federal guidelines Adjust account balances to specific account needs; i.
e.
, capitated labs Maintain Contract Management reporting, i.
e.
, payment errors, carve-out billings, and update information Apply cash received to appropriate accounts; refund overpayments Requirements:
High School diploma or equivalent Minimum of six months of data entry and/or customer service experience Preference given to applicants with experience in billing and collections or Medical Office/Healthcare experience Location:
The Summit, 100 Reserve Road.
, Danbury, CT Work Type:
Full-Time/Hybrid Work Shift:
8:
30am-5pm Monday - Friday; Hybrid Exempt:
No Grade:
S3 Salary Range:
$15.
30 - $28.
22 Hourly Working Conditions:
Significant manual skills / motor coordination & finger dexterity Little or no potential for occupational risk Sedentary/light effort, may exert up to 10 lb.
force Generally pleasant working conditions EOE including disability/veterans We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business.
If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only).
Please provide all information requested to assure that you are considered for current or future opportunities.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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