Revenue Cycle AR Specialist II - Full Time
About The Position
Applicants must reside in Connecticut, Massachusetts, or New York, or willing to relocate. The Revenue Cycle AR Specialist II is responsible for resolving insurance balances, following up with payors, and submitting appeals and reconsideration requests on rejected and denied claims. Ensures claims are paid by insurance carrier to the organization correctly. Works receivable inventory within department standards including, as applicable: maintaining assigned list of hospital or professional accounts; documenting agreement arrangements or reasons for outstanding balances; performs collection and follow up efforts; coordinating and/or posting adjustments, contractual allowances, or refunds within levels of authority. Identifies root causes of insurance denials. Remains current with core knowledge of specific payer policies, contracts and administrative bulletins AR Denials Specialist at this level has a solid understanding of under payment and credit balance process. Connecticut Children’s is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children’s offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members. At Connecticut Children’s, treating children isn’t just our job – it’s our passion. As a leading children’s health system experiencing steady growth, we’re excited to expand our team with exceptional team members who share our vision of transforming children’s health and well-being as one team.
Responsibilities
- Resolving insurance balances
- Following up with payors
- Submitting appeals and reconsideration requests on rejected and denied claims
- Ensuring claims are paid by insurance carrier to the organization correctly
- Maintaining assigned list of hospital or professional accounts
- Documenting agreement arrangements or reasons for outstanding balances
- Performing collection and follow up efforts
- Coordinating and/or posting adjustments, contractual allowances, or refunds within levels of authority
- Identifying root causes of insurance denials
- Remaining current with core knowledge of specific payer policies, contracts and administrative bulletins
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees
