Patient Financial Services Reimbursement Specialist I

Patient Financial Services Reimbursement Specialist I Danbury, CT Job Details Full-time $19.54 - $29.00 an hour 1 day ago Qualifications Contract management Financial transaction processing Medical office experience Regulatory compliance in claims processing Processing cash transactions State healthcare regulations Contract management in healthcare Customer inquiry handling High school diploma or GED Data entry Payment posting in medical billing systems Patient interaction Medical claim denial management Healthcare compliance Entry level Full Job Description Description At Nuvance Health, we enjoy the benefits of a two-state system as we cultivate an inclusive culture where everyone feels welcomed, respected and supported. Together, we are a team of 15,000+ strong hearts and open minds . If you share our values of connected, personal, agile and imaginative, we invite you to discover what's possible for you and your career.

Summary:

Coordinates and monitors all aspects of Patient Financial Services daily functions, including billing compliance and accounts receivable functions. Responsible for the assigned area�s claims submission, payment application, denial management, and account follow-up to ensure optimal reimbursement.

Responsibilities:

1. Accurately processes claims, payments, rejections, refunds, credit balances and unapplied cash on a daily basis and performs timely follow-up. 2. Confirms electronic and hard-copy billing of any delinquent claims. Rebills and follow-ups of all delinquent claims. 3. Responds to all patient and payer inquiries, denials, correspondence and telephone inquiries. 4. Advises other areas of updated insurance information and claim denials, i.e., registration. 5. Follows through with education of rules and regulations in the managed care system, as well as State & Federal guidelines. 6. Adjusts account balances to specific account needs. 7. Maintains Contract Management reporting (i.e., payment errors, carve out billings) and updates any information as needed or requested by supervisor. 8. Responsible for reviewing and resolving patient/insurance credit/debit balances and ensure proper communication is delivered to the patient. 9. Adheres to all policies and procedures related to federal, state and department compliance for the position. 10. Maintains and Model the Organization values. 11. Demonstrates regular, reliable and predictable attendance. 12. Performs other duties as required.

Other Information:

Required:

High School Diploma or equivalent. Data entry. Customer service experience required.

Minimum Experience:

six months

Desired:

Experience in billing and collections or Medical Office/Healthcare experience preferred.

Company:

Nuvance Health Org Unit:

1826

Department:

Patient Accounting Med Practic Exempt:

No Salary Range:

$19.54 - $29.00 Hourly With strong heart s and open minds , we're pushing past boundaries and challenging the expected, all in the name of possibility. We are neighbors caring for neighbors, working together as partners in health to improve the lives of the people we serve. If you share our passion for the health of our communities, advance your career with Nuvance Health!