NewMedical-Denial Management Specialist Orthopedic Associates of HartfordMedical-Denial Management SpecialistFarmington, CTThe Medical-Denial Management Specialist analyzes and resolves healthcare insurance claim denials by investigating reasons, preparing appeals, communicating with payers, and collaborating with billing staff to ensure proper reimbursement and prevent future denials. Our growing practice is currently seeking a Medical-Denial Management Specialist with Epic experience to join our Billing & Collections team in our Farmington, Connecticut business 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.
Medical Billing Specialist UCFS HealthcareMedical Billing SpecialistCT$22.50–$24 / hourUCFS Healthcare Offers a Competitive Benefits & Perks Package to Our Hardworking Team Which Can Include: Financial - Yearly Performance Merit Increases; Gain Share Program; Local & Online Discounts. We work collaboratively across programs at our agency to remove barriers and streamline access to services including behavioral health services, primary care, dental, case management and more.
Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield AssociationClinical Coding Analyst RN, ConsultantHartford, CTIn this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.
Outpatient Coder 2 Certified / HIM Coding Hartford HealthCare CorpOutpatient Coder 2 Certified / HIM CodingFarmington, CTAnalyzes medical records, interprets documentation and assigns proper International Classification of Diseases, Tenth Edition Clinical Modification (ICD‑10‑CM), Current Procedural Terminology/HealthCare Common Procedure Coding System (CPT/HCPCS), modifiers, and Evaluation & Management codes utilizing designated software to include Computer Assisted Coding (CAC) and/or encoder, coding manuals and other reference material as required. Reviews accounts returned from various departments (including Customer Service, Billing, Coding Quality, and Revenue Integrity) and processes corrections for clean claim submission or posts claim denial review for appeal.
Outpatient Coder 2 Certified / PB Coding Hartford HealthCare CorpOutpatient Coder 2 Certified / PB CodingFarmington, CTAnalyzes medical records, interprets documentation and assigns proper International Classification of Diseases, Tenth Edition Clinical Modification (ICD‑10‑CM), Current Procedural Terminology/HealthCare Common Procedure Coding System (CPT/HCPCS), modifiers, and Evaluation & Management codes utilizing designated software to include Computer Assisted Coding (CAC) and/or encoder, coding manuals and other reference material as required. Applies strong knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes.
Director, Client Coding Integrations Ensemble Health PartnersDirector, Client Coding IntegrationsCTThis role serves as a key partner between Coding Operations, Revenue Cycle, Client Services, Technology, Implementation, and operational leadership teams to ensure seamless coding transitions, operational readiness, compliance, and long-term success. This leader will be responsible for guiding coding integration activities, supporting operational transformation, identifying process improvement opportunities, and ensuring coding best practices are consistently implemented across client engagements.
Inpatient Coding / Abstraction Specialist Hybrid Work Environment Hospital for Special CareInpatient Coding / Abstraction Specialist Hybrid Work EnvironmentNew Britain, ConnecticutRequired: Certified Coding Specialist (CCS) or Certified Coding Specialist – Physician-based (CCS-P), or Certified Professional Coder-Payer (CPC-P), or able to achieve certification within 2 years of hire. Educates both medical and clinical staff on appropriate documentation practices, DRG assignment and changes in assignments, modifier usage, changes in software upgrades and communicates guidelines as published by regulatory agencies.
Billing and AR Specialist/Full time/Wallingford Gaylord HospitalBilling and AR Specialist/Full time/WallingfordWallingford, ConnecticutThe specialist works collaboratively with internal teams to ensure claims are billed correctly, denials are efficiently resolved, and revenue is collected in a timely manner. The Accounts Receivable Specialist plays a vital role in the hospital’s revenue cycle by managing the full spectrum of billing processes, payment collections, insurance reimbursement, and denial resolution.
NewAccounts Receivable Billing Clerk UnitedHealth Group IncAccounts Receivable Billing ClerkHartford, CT$18–$32 / hourThe Accounts Receivable Billing Clerk position is responsible for validating patient's insurance coverage, processing recurring rentals, claims coding, claims billing including price validation, assisting patient accounts with billing discrepancies, payment posting and working denials in Epic management software. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Patient Accounts - Assistant Manager Central Billing Office - 40Hrs Connecticut Children's Medical CenterPatient Accounts - Assistant Manager Central Billing Office - 40HrsHartford, CTThe Assistant Management position in the Business Office is responsible for the oversight and management of facility and professional claim billing as it pertains to physician credentialing, claim submission, denial resolution, claim payment application and daily cash reconciliation. Facilitates teamwork and cooperation among staff, effectively follows-up and resolves routine employee relations issues, seeking support from (leader) with more complex issues; Highly involved in termination decisions.
Patient Accounts - Assistant Manager Central Billing Office - 40hrs Connecticut Children's Medical CenterPatient Accounts - Assistant Manager Central Billing Office - 40hrsHartford, CTThe Assistant Management position in the Business Office is responsible for the oversight and management of facility and professional claim billing as it pertains to physician credentialing, claim submission, denial resolution, claim payment application and daily cash reconciliation. Facilitates teamwork and cooperation among staff, effectively follows-up and resolves routine employee relations issues, seeking support from (leader) with more complex issues; Highly involved in termination decisions.
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.
Chief of Adult Medicine and Assistant Chief Medical Officer Caring Health Center IncChief of Adult Medicine and Assistant Chief Medical OfficerSpringfield, MA$240,000–$290,000 / yearPart timeYou will partner directly with and be mentored by our Chief Medical Officer as you shape adult and geriatric care delivery, drive quality and safety initiatives, and build clinical programs that advance health equity in our community. Experience working in or with an FQHC, community health care setting, underserved populations, population health, accountable care organizations, value-based care, or integrated care models.
Chief of Adult Medicine and Assistant Chief Medical Officer Caring Health CenterChief of Adult Medicine and Assistant Chief Medical OfficerSpringfield, MassachusettsYou will partner directly with and be mentored by our Chief Medical Officer as you shape adult and geriatric care delivery, drive quality and safety initiatives, and build clinical programs that advance health equity in our community. Experience working in or with an FQHC, community health care setting, underserved populations, population health, accountable care organizations, value-based care, or integrated care models.
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.
Medical Biller All Connecticut Home Care ServicesMedical BillerRocky Hill, CTPart timeYou will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone.
Cust Svc Rep Single Bill Offic / PA Customer Service Hartford HealthCare CorpCust Svc Rep Single Bill Offic / PA Customer ServiceFarmington, CTDepartment Description: The SBO Customer Service Department works with patients, insurance companies, attorney offices, etc with regard to their Hartford HealthCare medical bills. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.
Denials Management Medical Specialist Ledgent Finance & AccountingDenials Management Medical SpecialistFarmington, Connecticut$23–$25.50 / hourThis is an excellent opportunity for an experienced medical billing professional who thrives in a fast-paced environment and enjoys resolving claim issues, managing denials, and ensuring timely reimbursement. Maintain accurate account notes regarding claim submissions, denials, appeals, and resolutions.
Medical Accounts Receivable Specialist - Remote Community Health Center IncMedical Accounts Receivable Specialist - RemoteCTRemoteOrganization 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.