NewAppeals/Billing Specialist JobotAppeals/Billing SpecialistHartford, CTRemote$23–$30 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.
NewMedical Director - Emergency Medicine - Mercy Medical Center - Springfield VituityMedical Director - Emergency Medicine - Mercy Medical Center - SpringfieldSpringfield, MAEnsure practice is appropriately represented and demonstrates their value through leadership roles (as applicable) and/or participation with hospital management, medical staff leadership, Medical Executive, Medical Staff and other hospital committees, and within the local community. Families and adventure-seekers alike enjoy Six Flags New England just across the river, while nearby Forest Park—one of the largest urban parks in the country—provides trails, gardens, and a zoo.
Centralized Billing Specialist - Full Time - In-Person or Remote Community Health Center IncCentralized Billing Specialist - Full Time - In-Person or RemoteMiddletown, CTRemoteOrganization Information: Community Health Center, Inc. (CHC) with offices in Connecticut, Colorado and California, is one of the country's most creative and dynamic providers of primary medical, dental, and behavioral health services, and a leader in practice-based research, health professionals training, and use of innovative technologies to advance health and healthcare. In addition, the organization has developed three wholly owned subsidiaries from the original pilot developments within the Weitzman Institute: the National Nurse Practitioner Residency and Fellowship Training Consortium (NNPRFTC), the National Institute for Medical Assistant Advancement (NIMAA), and the ConferMED Network.
Claims Billing Specialist HARTFORD DISPENSARY, THEClaims Billing SpecialistManchester, CTRoot Center has approved sites for the following NHSC Loan Repayment Programs: The Loan Repayment Program, Students to Service Loan Repayment Program, Rural Community Loan Repayment Program and Substance Use Disorder Workforce Loan Repayment Program. $2000 provided annually for tuition, license reimbursement, certifications or other educational activities, including 3 paid training days for educational activities and conferences; an additional $1000 available for counselors seeking outside supervision hours when such cannot be provided in the organization internally.
ACCOUNTS RECEIVABLE LONGTERM CARE BILLING SPECIALIST Berkshire Healthcare Systems IncACCOUNTS RECEIVABLE LONGTERM CARE BILLING SPECIALISTSpringfield, MAThis is accomplished by using knowledge of third-party reimbursement, Integritus Healthcare policies and collection techniques and accounting principles to insure the timely financial resolution of each account. Integritus Healthcare is a long-term Care, Senior Living and Housing company located in the Berkshires with locations throughout Massachusetts.
Accts Receivable Team Lead / PA Non Medicare Billing Hartford HealthCare CorpAccts Receivable Team Lead / PA Non Medicare BillingFarmington, CTPosition Summary: Responsible for assisting the Accounts Receivable (AR) Follow Up/Denials Supervisor, in the day-to-day operations of the AR Follow Up & Denials Specialist Level 1, Level 2 and Level 3. Daily Operations consist of monitoring timely and accurate collection of third-party payers, resolving outstanding insurance claims across all Hartford HealthCare hospitals, medical group and homecare. Provides leadership to the team regarding management of technical functions, vendors and client relations through project management, relationship building and internal department collaboration, organizational awareness and input to Yearly Performance Appraisals/SMART Goals.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorHartford, CT$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
BILLING MANAGER - FULL - TIME InterCommunity IncBILLING MANAGER - FULL - TIMEEast Hartford, CT$52,000–$95,000 / yearEssential Duties & Responsibilities: Oversees the daily operations of the Billing Department, including claims processing, accounts receivable follow-up, payment posting oversight, denial management, collections, and overall revenue cycle performance across primary care, behavioral health, residential, and specialty programs. Works collaboratively with Practice Managers, Program Directors, Finance, Compliance, Credentialing, and clinical leadership to ensure accurate and timely billing practices, resolution of payer concerns, and optimization of revenue cycle workflows.
Billing Specialist - Shared Services Insurance Office of AmericaBilling Specialist - Shared ServicesHartford, CTRemote$40,000–$60,000 / yearFull timePlease note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. The Billing Specialist plays a critical role in supporting financial operations while delivering consistent, high‑quality results within established turnaround timelines.
Billing Specialist Triumvirate Environmental IncBilling SpecialistNewington, CT$25–$26 / hourTriumvirate Environmental provides leading organizations in the higher education, life sciences, healthcare, and advanced manufacturing sectors with diverse services and expertise to assist them with compliance management. Work with account management and project administration teams to develop pricing for new services, goods and wastes based on sales strategy.
Billing Manager HARTFORD DISPENSARY, THEBilling ManagerManchester, CT$55,000–$80,000 / yearRoot Center has approved sites for the following NHSC Loan Repayment Programs: The Loan Repayment Program, Students to Service Loan Repayment Program, Rural Community Loan Repayment Program and Substance Use Disorder Workforce Loan Repayment Program. $2000 provided annually for tuition, license reimbursement, certifications or other educational activities, including 3 paid training days for educational activities and conferences; an additional $1000 available for counselors seeking outside supervision hours when such can not be provided in the organization internally.
Construction Billing & Accounts Receivable Specialist AmeriTech ContractingConstruction Billing & Accounts Receivable SpecialistMeriden, ConnecticutMain Responsibilities: Progress Billing & AIA Forms: Prepare and submit monthly client invoicing using AIA G702/G703 forms and or customized owner-required formats. Job Summary: Ameritech Contracting is seeking a detail-oriented and reliable Construction Billing & AR Specialist who will be responsible for the full-cycle billing process, ensuring accurate project invoicing, timely collections, and strict compliance with contract terms.
Construction Billing & Accounts Receivable Specialist AmeriTech Contracting LLCConstruction Billing & Accounts Receivable SpecialistMeriden, CT$70,000–$90,000Main Responsibilities: Progress Billing & AIA Forms: Prepare and submit monthly client invoicing using AIA G702/G703 forms and or customized owner-required formats. Job Summary: Ameritech Contracting is seeking a detail-oriented and reliable Construction Billing & AR Specialist who will be responsible for the full-cycle billing process, ensuring accurate project invoicing, timely collections, and strict compliance with contract terms.
Contracts Billing Clerk Apidel TechnologiesContracts Billing ClerkSpringfield, MAContractorEligible candidates are needed to start immediately through July 3rdwith the option to extend based on Departments continued need. The Department of Developmental Services is seeking 2 highly qualified Contract Billing clerks in our Springfield, MA office.
Medical Coding and Billing Assistant 1 Yale UniversityMedical Coding and Billing Assistant 1Connecticut1. Performs work queue resolution of medical billing charge sessions by reviewing clinical documentation to confirm diagnostic (ICD-10) and procedural (CPT/HCPCS) codes and modifiers, based on charge review edits for Yale Medicine patient clinical services filed to charge review work queues. Required Education and Experience Four years of related work experience, two of them in the same job family at the next lower level, and high school level education; or two years of related work experience and an Associate’s degree, or an equivalent combination of experience and education.
Senior Business Analyst Insurance Billing & Commissions (ORMB) SGA Inc.Senior Business Analyst Insurance Billing & Commissions (ORMB)Hartford, CTRemote$55–$57 / hourThis role serves as a key bridge between business and technology, partnering across Enrollment/Membership, Finance, Claims, and Customer Service to define target state billing capabilities, translate business needs into scalable ORMB solutions, and drive successful delivery across the full lifecycle. The ideal candidate brings strong domain knowledge in Employee Benefits group billing, hands on ORMB functional implementation experience, and the ability to operate as a trusted advisor to both business stakeholders and technical delivery teams.
Billing and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerHartford, CTRemote$140,000–$160,000 / yearAs an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Senior Business Analyst – Insurance Billing & Commissions (ORMB) SGA Inc.Senior Business Analyst – Insurance Billing & Commissions (ORMB)Hartford, CTThis role serves as a key bridge between business and technology, partnering across Enrollment/Membership, Finance, Claims, and Customer Service to define target state billing capabilities, translate business needs into scalable ORMB solutions, and drive successful delivery across the full lifecycle. The ideal candidate brings strong domain knowledge in Employee Benefits group billing, hands on ORMB functional implementation experience, and the ability to operate as a trusted advisor to both business stakeholders and technical delivery teams.
Senior Business Analyst – Insurance Billing & Commissions (ORMB) Software Guidance & AssistanceSenior Business Analyst – Insurance Billing & Commissions (ORMB)Hartford, CTRemote$55–$57 / hourThis role serves as a key bridge between business and technology, partnering across Enrollment/Membership, Finance, Claims, and Customer Service to define target state billing capabilities, translate business needs into scalable ORMB solutions, and drive successful delivery across the full lifecycle. The ideal candidate brings strong domain knowledge in Employee Benefits group billing, hands on ORMB functional implementation experience, and the ability to operate as a trusted advisor to both business stakeholders and technical delivery teams.
NewBill Review Analyst I CorVel Healthcare CorporationBill Review Analyst IEast Hartford, CT$16.94–$23.42 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
Epic Certified Hospital Billing Claims Analyst 5944595 Accenture PlcEpic Certified Hospital Billing Claims Analyst 5944595Hartford, CTIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Hospital Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Epic Certified Hospital Billing (Charge Router) Senior Analyst 5944607 Accenture PlcEpic Certified Hospital Billing (Charge Router) Senior Analyst 5944607Hartford, CTIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Hospital Billing (Charge Router) Senior Analyst will bring experience managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Coding and Billing Analyst Yale UniversityCoding and Billing AnalystConnecticut3. Well-developed problem-solving skills with the ability to be innovative, ability to compile comprehensive analysis of data with complex and professional reporting of results, analyze and interpret detailed reports, develop clear conclusions and summarize findings. Whether you are a current resident of our New Haven-based community- eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome.
Research Billing Compliance Analyst Yale UniversityResearch Billing Compliance AnalystConnecticutRequired Education and Experience Bachelor’s Degree in Health or Business Administration or a related field and 3 years of experience working directly with clinical research charge review and billing or an equivalent combination of education and experience. Whether you are a current resident of our New Haven-based community- eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome.
Accts Rec & Denial Spec 2 / PA Medicare Billing Hartford HealthCare CorpAccts Rec & Denial Spec 2 / PA Medicare BillingFarmington, CTPrimary Location: Connecticut-Farmington-9 Farm Springs Rd Farmington (10566). Job Description - Accts Rec & Denial Spec 2 / PA Medicare Billing (26152772).
Enrollment and billing analyst Infosys LtdEnrollment and billing analystHartford, CT147568BRArizona, Connecticut, Indiana, North Carolina, TexasUSAInfosys Limited Domain Consultant 2ITL USA Hartford, CT, Indianapolis, IN, Raleigh, NC, Richardson, TX, Tempe, AZEnrollment and billing analyst. Consultant - USDomain|Healthcare Payer|Enrollment and Billing Domain|Healthcare|Healthcare - ALL Healthcare domain, EnrollmentProduct management.
Administrative & Billing Coordinator Hamilton ConnectionsAdministrative & Billing CoordinatorWEST SPRINGFIELD, MAAnswer and direct incoming phone calls - Perform order entry and maintain customer account profiles - Manage invoicing, cash receipts and billing support functions - Prepare invoices for email and mail distribution - Maintain filing systems. - Have strong interpersonal skills - Have excellent organizational skills - Have experience with Microsoft Office
Hospital Billing Analyst Deloitte Touche Tohmatsu LtdHospital Billing AnalystHartford, CT$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
SAP IS-U Billing & Rates Lead - Utilities Industry Accenture PlcSAP IS-U Billing & Rates Lead - Utilities IndustryHartford, CTAs part of Accenture's Utilities SAP Practice, you'll be delivering major SAP solutions and Utilities-specific capabilities such as customer systems, energy data management, demand response, asset operations, regulatory reporting, Distributed Energy Resources (solar panels, batteries, electric vehicle chargers), and new Utility business models. Then join Accenture and build a rewarding career improving the way the world works and lives, as you help clients innovate with leading-edge SAP and Accenture Customer, Sales and Service solutions and technologies on some of the most innovative projects in the world.
Senior Business Analyst Insurance Billing & Commissions (ORMB) Artech LLCSenior Business Analyst Insurance Billing & Commissions (ORMB)Hartford, CTRemote$55–$58 / hourThis role serves as a key bridge between business and technology, partnering across Enrollment/Membership, Finance, Claims, and Customer Service to define target state billing capabilities, translate business needs into scalable ORMB solutions, and drive successful delivery across the full lifecycle. The ideal candidate brings strong domain knowledge in Employee Benefits group billing, hands on ORMB functional implementation experience, and the ability to operate as a trusted advisor to both business stakeholders and technical delivery teams.
Quality Billing Manager Waste Management IncQuality Billing ManagerWindsor, CTWM has the largest disposal network and collection fleet in North America, is the largest recycler of post-consumer materials and is the leader in beneficial reuse of landfill gas, with a growing network of renewable natural gas plants and the most gas-to-electricity plants in North America. WM's fleet includes nearly 11,000 natural gas trucks - the largest heavy-duty natural gas truck fleet of its kind in North America - where more than half are fueled by renewable natural gas.
Strategic Client Partner - Billing Operations Insurity, Inc.Strategic Client Partner - Billing OperationsHartford, CTRemote$105,000–$192,000 / yearYou've operated within real billing complexity - where misapplied payments, reconciliation gaps across systems, installment billing challenges, payment processing, and the effort required to support multiple billing structures had to be managed as the business scaled. Illustrate what scalable billing looks like in practice - where billing, payments processing, and reconciliation are aligned, exceptions are minimized, cash flow is predictable, and new programs don't require rebuilding billing each time.
Epic Certified Professional Billing Analyst 6135586 Accenture PlcEpic Certified Professional Billing Analyst 6135586Hartford, CTIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Professional Billing Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Epic Certified Professional Billing Analyst 5944594 Accenture PlcEpic Certified Professional Billing Analyst 5944594Hartford, CTIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Professional Billing Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Epic Certified Professional Billing Claims Analyst 5944596 Accenture PlcEpic Certified Professional Billing Claims Analyst 5944596Hartford, CTIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Job Description: Epic Certified Professional Billing Claims Analyst will bring experience in managing applications, with a strong background in managing day-to-day operations, client stakeholder relationships, and collaboration with offshore teams.
Cust Svc Rep Single Bill Offic / PA Customer Service Hartford HealthCare CorpCust Svc Rep Single Bill Offic / PA Customer ServiceFarmington, CTPrimary Location: Connecticut-Farmington-9 Farm Springs Rd Farmington (10566). Job Description - Cust Svc Rep Single Bill Offic / PA Customer Service (26153774).
Epic Applications Analyst (1-4): PROFESSIONAL BILLING - Rev Cycle Application and Epic Operations - Full Time SolutionHealthEpic Applications Analyst (1-4): PROFESSIONAL BILLING - Rev Cycle Application and Epic Operations - Full TimeCTEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Accenture Billing & Payments (ABPE) Sales Director - USA Accenture PlcAccenture Billing & Payments (ABPE) Sales Director - USAHartford, CTCollaborate with Product Marketing, Lead Origination, Pre-Sales, Product Management, Professional Services, and Engineering teams to ensure client needs are met and sales origination and pursuits are successful and feedback loops are engaged/active - culture of continuous improvement on product value. Products and platforms have built-in value propositions for account teams looking to: • Originate to Win • Accelerate to Cloud • Improve Time-to-Value • Build in Profitability Uplift • Deliver Exponential ROI • Realize what New becomes Next • Let there be change.
Collections Specialist- Evernorth- Remote The Cigna GroupCollections Specialist- Evernorth- RemoteCTRemote$17.75–$26 / hourThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
(Certified Professional Medical Coder) Professional Review Specialist II CorVel Corp(Certified Professional Medical Coder) Professional Review Specialist IIEast Hartford, CT$22.17–$35.66 / hourPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
Accts Rec & Denial Spec 2 / PA Third Party Follow Up Hartford HealthCare CorpAccts Rec & Denial Spec 2 / PA Third Party Follow UpFarmington, CTPosition Summary: Under the direction of Patient Financial Service (PFS), Accounts Receivable (AR) or Claims Supervisor, assure timely and accurate submission of claims on UB04 or HCFA1500 (bills), monitor responses from clearinghouse, review Electronic Fund Transmission (EFT) responses, respond on underpayments or overpayments via payer portal, payer chat or payer customer service, analyze claim adjustment reason codes, analyze remittance advice remark codes and any revenue cycle activities associated with outstanding insurance balances across all Hartford HealthCare hospitals, medical group and homecare. Initiates, updates, resolves denials and payment variances and takes action to resolve account including drafting and submitting appeals, identifying specific reason for underpayments, denials and cause of payment delays.
Accounts Receivable Specialist Hebrew Center for Health & RehabilitationAccounts Receivable SpecialistWest Hartford, ConnecticutToday, our centers include more than 40 premier providers of short-term rehabilitation, skilled nursing, and post-hospital care including several named “Best Of” by US News & World Report. If you are passionate about ensuring our resources are optimized to provide the best care to our residents, in an environment where your expertise and dedication are valued and appreciated, we invite you to join our team as an Account Receivable Specialist.
IT Director (Hybrid) Intact Specialty SolutionsIT Director (Hybrid)Farmington, ConnecticutThe ideal candidate brings strong leadership across policy administration modernization, underwriting workflows, cloud architecture, API/event-driven integration, platform design patterns, AI-enabled decision support, and organizational change management. The Director will partner with underwriting, product, architecture, operations, and delivery leaders to evolve legacy capabilities into a modern, cloud-enabled, scalable platform that improves speed to market, underwriting efficiency, resiliency, and data-driven decision-making.
Compliance Auditor Yale UniversityCompliance AuditorConnecticutThe University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. Whether you are a current resident of our New Haven-based community, eligible for opportunities through the New Haven Hiring Initiative, or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome.
Call Center Specialist, Harrington Hospital, Southbridge - 40 Hours, Days UMass Memorial Health Care IncCall Center Specialist, Harrington Hospital, Southbridge - 40 Hours, DaysSouthbridge, MAExceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. Answer telephones, engages clinical staff when appropriate for assistance, keep calls to an average of 4 minutes and consistently handles an average of 100 calls per shift.
NewCertified Professional Coder - Professional Review Specialist II CorVel Healthcare CorporationCertified Professional Coder - Professional Review Specialist IIEast Hartford, CT$22.17–$35.66 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.
Patient Accounts - Revenue Cycle AR Specialist II - 40hrs Connecticut Children's Medical CenterPatient Accounts - Revenue Cycle AR Specialist II - 40hrsEast Hartford, CTIdentifies root causes of insurance denials • Remains current with core knowledge of specific payer policies, contracts, and administrative bulletins • Communicates identified payer trends such as denials for specific procedure, diagnosis codes, or other identified issues • Accurately and compliantly resolves insurance balances after payment or adjudication, and correctly identifies any patient liability • Ensures accurate resolution of account to payment or payor terms • Follows up with payors to ensure timely resolution of all outstanding claims, via phone, emails, fax, or websites • Leverages available resources and systems (both internal and external) to analyze patient accounting information and take appropriate action for payment resolution • Documents all activity in accordance with organization and payor policies • Coordinates appeal when claim is denied • May partner with medical care team members on complex appeals • Submits LOMN (Letter of Medical Necessity) and other drafted appeals and reconsiderations on rejected and denied claims • Sends appeals to payors and follows up to ensure payment is made • Continues to review account and escalates as necessary if denial is not overturned • Engages the CFC, UR, Revenue integrity, or coding follow-up team for any medical necessity, auth, or coding related to denials review • Sets follow-up activities based on status of the claim; ensures full and clear account documentation on account status within system • Collaborates as a part of a team on special projects by utilizing Excel spreadsheets and effectively communicates results • Performs other job-related duties as assigned. Experience: Minimum of 3 years Billing experience required in healthcare Rev Cycle with specialization in billing, account receivable follow-up, and denial management, with a High School Diploma/GED OR Minimum of 2 years direct experience with an Associate or Bachelors degree.
Supv Accts Rec FollowUp Denial / PA Third Party Follow Up Hartford HealthCare CorpSupv Accts Rec FollowUp Denial / PA Third Party Follow UpFarmington, CTPosition Summary: Responsible for the daily operations of an Accounts Receivable (AR) Follow Up team, tasked with timely and accurate collection of third-party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare Hospitals, Medical Group and Homecare to insure optimal revenue cycle performance. Job Title(s) of HHC positions reporting to this Job: Direct supervision of AR Team Lead and AR Collections Specialists in their efforts to review and resolve issues related to insurance claim denials, no response claims and payment variances including underpayments and overpayments.
Senior Manager, Insurance and Claims Advocacy Sun Life Financial IncSenior Manager, Insurance and Claims AdvocacyHartford, CT$76,200–$114,300 / yearThrough employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation. At Sun Life, we prioritize your well-being with comprehensive benefits, including generous vacation and sick time, market-leading paid family, parental and adoption leave, medical coverage, company paid life and AD&D insurance, disability programs and a partially paid sabbatical program.
Manager, Revenue Integrity - 40hrs Connecticut Children's Medical CenterManager, Revenue Integrity - 40hrsEast Hartford, CTReporting to the Revenue Integrity Director, the Manager of Revenue Integrity works collaboratively with others to optimize workflows and related information systems to help ensure accurate, complete, timely documentation, charges and coding of services. Works collaboratively with Professional Coding, Facility Coding and Compliance (when indicated) with performing appropriate reviews, investigating trends and patterns, and providing education regarding documentation, charge capture, charge reconciliation, billing/coding guidelines and denials.