Patient Financial Services Reimbursement Specialist I - Full Time
About The Position
This is a full-time position at Nuvance Health, operating Monday-Friday from 8:00 am to 4:30 pm, with a hybrid-remote work arrangement. Northwell is a large not-for-profit health system in the Northeast, with 28 hospitals and over 1,000 outpatient facilities serving New York and Connecticut. The role coordinates and monitors all aspects of Patient Financial Services daily functions, including billing compliance and accounts receivable. The specialist is responsible for assigned areas of claims submission, payment application, denial management, and account follow-up to ensure optimal reimbursement.
Requirements
- High School Graduate 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 Organizations values.
- Demonstrates regular, reliable and predictable attendance.
- Performs other duties as required.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
