Patient Financial Services Reimbursement Specialist I - (FT, Days)

Nuvance Health•Danbury, CT

37d•$20 - $29•Hybrid

About The Position

Coordinates and monitors daily Patient Financial Services functions, including billing compliance and accounts receivable. The role is responsible for claims submission, payment application, denial management, and account follow-up in an assigned area to support optimal reimbursement. This is a full-time, hybrid-remote position with Monday–Friday schedules of either 7:00 a.m.–3:30 p.m. or 7:30 a.m.–4:00 p.m.

Requirements

High school graduate or equivalent.
Data-entry skills.
Customer service experience.
At least six months of experience.

Nice To Haves

Experience in billing and collections.
Medical office or healthcare experience.

Responsibilities

Process claims, payments, rejections, refunds, credit balances, and unapplied cash accurately each day, and perform timely follow-up.
Confirm electronic and hard-copy billing of delinquent claims; rebill and follow up on all delinquent claims.
Respond to patient and payer inquiries, denials, correspondence, and telephone inquiries.
Advise other areas, such as registration, of updated insurance information and claim denials.
Educate on managed care rules and regulations and applicable state and federal guidelines.
Adjust account balances to meet specific account needs.
Maintain contract management reporting, including payment errors and carve-out billings, and update information as needed or requested by the supervisor.
Review and resolve patient and insurance credit and debit balances and ensure appropriate communication is provided to patients.
Follow federal, state, and departmental policies and procedures related to compliance.
Maintain and model the organization's values.
Demonstrate regular, reliable, and predictable attendance.
Perform other duties as required.