Patient Financial Services Reimbursement Specialist I jobs in United States
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Nuvance Health · 2 months ago

Patient Financial Services Reimbursement Specialist I

Nuvance Health is a healthcare organization that focuses on providing comprehensive patient financial services. The Patient Financial Services Reimbursement Specialist I is responsible for coordinating and monitoring billing compliance, claims submission, payment application, and denial management to ensure optimal reimbursement.

Health CareHospitalMedical

Responsibilities

Accurately processes claims, payments, rejections, refunds, credit balances and unapplied cash on a daily basis and performs timely follow-up
Confirms electronic and hard-copy billing of any delinquent claims
Rebills and follow-ups of all delinquent claims
Responds to all patient and payer inquiries, denials, correspondence and telephone inquiries
Advises other areas of updated insurance information and claim denials, i.e., registration
Follows through with education of rules and regulations in the managed care system, as well as State & Federal guidelines
Adjusts account balances to specific account needs
Maintains Contract Management reporting (i.e., payment errors, carve out billings) and updates any information as needed or requested by supervisor
Responsible for reviewing and resolving patient/insurance credit/debit balances and ensure proper communication is delivered to the patient
Adheres to all policies and procedures related to federal, state and department compliance for the position
Maintains and Model the Organization’s values
Demonstrates regular, reliable and predictable attendance
Performs other duties as required

Qualification

Billing complianceClaims submissionDenial managementData entryCustomer service

Required

HSD or equivalent
Data entry
Customer service experience required
Minimum Experience: six months

Preferred

Experience in billing and collections or Medical Office/Healthcare experience preferred

Company

Nuvance Health

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Nuvance Health operates hospitals, medical practices, and care centers for health care and medical services.

Funding

Current Stage
Late Stage
Total Funding
unknown
2025-05-06Acquired

Leadership Team

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John M. Murphy
President & CEO
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D
Deborah August
Pathologist
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Company data provided by crunchbase