Patient Financial Services Reimbursement Specialist I

Nuvance Health • Danbury, CT

42d • $19 - $25

About The Position

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.

Requirements

• HSD or equivalent.
• Data entry.
• Customer service experience required.
• Minimum Experience: six months

Nice To Haves

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

Responsibilities

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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees