Accounts Receivable Specialist Hebrew Center for Health & RehabilitationAccounts Receivable SpecialistWest Hartford, ConnecticutFull timeToday, 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.
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.
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.
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.
NewManager, Corporate Events CVS Health CorpManager, Corporate EventsHartford, CT$66,330–$145,860 / yearIndependently manage all aspects of assigned events from end to end, including venue sourcing, pre-event planning, project management, invitations, attendee registration, budget oversight, final reconciliation, billing accuracy, meeting close-out, and additional duties as needed. This role is responsible for managing meetings and trade shows within the Center of Excellence, collaborating with key business stakeholders to develop event strategies focused on best-in-class execution driving internal engagement, influencing customers, and enhancing our brand.
Patient Reimbursement Specialist US Physical Therapy IncPatient Reimbursement SpecialistVernon, CT$25–$30 / hourAudit payments from commercial and workers compensation carriers for consistency with contracted fee schedule and follow up with carriers as appropriate to resolve underpayments. As a leading provider in the field, we strive to empower individuals with disabilities and enable them to achieve their highest level of independence and functionality.
ACCOUNTS RECEIVABLE LONGTERM CARE BILLING SPECIALIST Berkshire Healthcare Systems IncACCOUNTS RECEIVABLE LONGTERM CARE BILLING SPECIALISTHartford, CTThis 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.
Billing Specialist Generations Family Health CenterBilling SpecialistWillimantic, CTGenerations Family Health Center, Inc. is a regional community health center covering a thirty seven town rural region in eastern Connecticut with sites located in Willimantic, Danielson, Norwich and Putnam. Why you'll love working here: At Generations, you'll be part of a mission‑driven, team‑based environment focused on delivering compassionate, community‑centered care-while enjoying a benefits package that truly supports you on and off the job: Medical, Dental and Vision insurance with no employee premium.
Senior Clinical Consultant, Health and Risk Solutions Sun Life Financial IncSenior Clinical Consultant, Health and Risk SolutionsHartford, CT$78,600–$117,900 / 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.
Pro Fee Coding Specialist Saint Francis Health SystemPro Fee Coding SpecialistNew Haven, CTLicensure, Registration and/or Certification: (CCS) Certified Coding Specialist - American Health Information Management Association (AHIMA), (CPC) Certified Professional Coder - American Association of Professional Coders (AAPC), (BCHH-C) Board Certified Home Health Coding Credentialing - WellSky, (RHIA) Registered Health Information Administrator - American Health Information Management Association (AHIMA), (RHIT) Registered Health Information Technician - American Health Information Management Association (AHIMA), or Hierarchical Conditions Categories (HCCS) from The Compliance Certification Board (CCB). Experience and/or training in the anatomy and physiology of the human body and disease processes in order to understand the etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and prognosis of diseases and procedures to be coded, preferred.
Pro Fee Coding Specialist - Trauma Coder Saint Francis Health SystemPro Fee Coding Specialist - Trauma CoderNew Haven, CTLicensure, Registration and/or Certification: (CCS) Certified Coding Specialist - American Health Information Management Association (AHIMA), (CPC) Certified Professional Coder - American Association of Professional Coders (AAPC), (BCHH-C) Board Certified Home Health Coding Credentialing - WellSky, (RHIA) Registered Health Information Administrator - American Health Information Management Association (AHIMA), (RHIT) Registered Health Information Technician - American Health Information Management Association (AHIMA), or Hierarchical Conditions Categories (HCCS) from The Compliance Certification Board (CCB). Experience and/or training in the anatomy and physiology of the human body and disease processes in order to understand the etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and prognosis of diseases and procedures to be coded, preferred.
Compliance Auditor Yale UniversityCompliance AuditorNew Haven, CT$68,000–$120,500 / yearThe 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.
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.
NewMedical 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.
BUSINESS OFFICE MANAGER University Health Services IncBUSINESS OFFICE MANAGERGROTON, CTOur clinic in Groton, CT, offers partial hospitalization and intensive outpatient treatment, and is conveniently located across the street from The Inn at Trails Corner, a new 180 bed dormitory-style sober community for adult men and women who attend our outpatient day treatment programs. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Senior Claim Technical Specialist IFG CompaniesSenior Claim Technical SpecialistHartford, CT$110,000–$120,000 / yearThe Senior Claim Technical Specialist ("SCTS") is a high-impact role focused on investigating, evaluating, negotiating and settling serious injury/damage claims involving complex coverage and large loss exposures in multiple jurisdictions. It combines a specialty-carrier focus with long-term stability and thinking, while promoting a culture of underwriting rigor, collaboration, strategic thinking, superior technology and strong producer partnerships.
Medical Coding Analyst - Diagnostic Radiology Yale New Haven HealthMedical Coding Analyst - Diagnostic RadiologyNEW HAVEN, ConnecticutRequires occasional ability to lift, push and pull objects such as files and office supplies up to 30 pounds and/or continuously up to 10 pounds; and occasional moving about on foot to accomplish tasks, walking long distances or moving from one work site to another. Reviews and handles interventional procedures performed within Diagnostic Radiology, IE: Breast Imaging procedures, Spine Injections, aspirations etc. to ensure all codes have been appropriately assigned for optimum reimbursement under the direction of the Lead.
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.
On Site - CT; Accounts Receivable Specialist Summit Health, Inc.On Site - CT; Accounts Receivable SpecialistRocky Hill, CTCore duties include working claim edits, claim rejections, denied claims, and unpaid or underpaid claims with the various payers including but not limited to the following: Medicare, Medicaid, Medicare Advantage, Medicare supplemental, commercial, and Liability insurances. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.
Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistHartford, ConnecticutSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.