Patient Financial Services Reimbursement Analyst 1 Job at Nuvance Health
Nuvance Health Danbury, CT 06810
$16 - $23 an hour
Nuvance Health is a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital, and Sharon Hospital in Connecticut and Northern Dutchess Hospital, Putnam Hospital Center, and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations including The Heart Center, a leading provider of cardiology care, and two urgent care offices. Non-acute care is offered through affiliates including the Thompson House, for rehabilitation and skilled nursing services, and the Home Care organizations.
SUMMARY:
Maintain accurate and timely claim submissions for designated groups of accounts by payer. Insure all claims are compliant with state and federal billing regulations and contractual obligations. Collect cash from third-party payers and patients. Expedite inquiries by mail or phone as related to the designated group of accounts. Insure accurate and timely application of cash received. Process statements to insure an effective billing system.
RESPONSIBILITIES:
Accurate, timely and compliant claim submission
Confirmation of electronic and hard-copy billing of delinquent claims, rebilling, and follow-up of delinquent claims
Respond to patient and payer inquiries, denials, correspondence, and telephone inquires
Maintain reports and contract management files and records as needed; i.e., medical records, referrals, pre-certification letters, etc.
Advise other areas of updated insurance information and claim denials; i.e., registration
Follow through with education of rules and regulations in the managed care system as well as state and federal guidelines
Adjust account balances to specific account needs; i.e., capitated labs
Maintain Contract Management reporting; i.e., payment errors, carve-out billings and update information
Apply cash received to appropriate accounts and refund overpayments
Adhere to all policies and procedures related to compliance with all federal & state billing & collection regulations & third party contractual obligations
REQUIREMENTS:
Six months of data entry and/or customer service experience
Preference for applicants with experience in billing and collections or medical office/healthcare
Location: The Summit-100 Reserve Rd., Danbury, CT/Hybrid/Two Days in Office
Work Type: Full-Time/40 hr.
Work Shift: 7:30 AM - 4:00 PM or 8:00 AM - 4:30 PM
Salary Range: $16 - $23/hr.
WORKING CONDITIONS:
Significant manual skills / motor coordination & finger dexterity
Little or no potential for occupational risk
Sedentary/light effort, may exert up to 10 lb. force
Generally pleasant working conditions
EOE including disability/veterans
We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.
Please Note :
clarksqn.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, clarksqn.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.
SUMMARY:
Maintain accurate and timely claim submissions for designated groups of accounts by payer. Insure all claims are compliant with state and federal billing regulations and contractual obligations. Collect cash from third-party payers and patients. Expedite inquiries by mail or phone as related to the designated group of accounts. Insure accurate and timely application of cash received. Process statements to insure an effective billing system.
RESPONSIBILITIES:
Accurate, timely and compliant claim submission
Confirmation of electronic and hard-copy billing of delinquent claims, rebilling, and follow-up of delinquent claims
Respond to patient and payer inquiries, denials, correspondence, and telephone inquires
Maintain reports and contract management files and records as needed; i.e., medical records, referrals, pre-certification letters, etc.
Advise other areas of updated insurance information and claim denials; i.e., registration
Follow through with education of rules and regulations in the managed care system as well as state and federal guidelines
Adjust account balances to specific account needs; i.e., capitated labs
Maintain Contract Management reporting; i.e., payment errors, carve-out billings and update information
Apply cash received to appropriate accounts and refund overpayments
Adhere to all policies and procedures related to compliance with all federal & state billing & collection regulations & third party contractual obligations
REQUIREMENTS:
Six months of data entry and/or customer service experience
Preference for applicants with experience in billing and collections or medical office/healthcare
Location: The Summit-100 Reserve Rd., Danbury, CT/Hybrid/Two Days in Office
Work Type: Full-Time/40 hr.
Work Shift: 7:30 AM - 4:00 PM or 8:00 AM - 4:30 PM
Salary Range: $16 - $23/hr.
WORKING CONDITIONS:
Significant manual skills / motor coordination & finger dexterity
Little or no potential for occupational risk
Sedentary/light effort, may exert up to 10 lb. force
Generally pleasant working conditions
EOE including disability/veterans
We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.
Please Note :
clarksqn.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, clarksqn.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.