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Nuvance Health · 1 month ago

Patient Financial Services Reimbursement Specialist I

Danbury, CT

Full-time

Hybrid

New Grad, Entry Level

$19/hr - $27/hr

0+ years exp

Nuvance Health is a healthcare organization seeking a Patient Financial Services Reimbursement Specialist I. The role involves maintaining accurate and timely claim submission, ensuring compliance with billing regulations, and managing cash collections from third party payers and patients.

Health CareHospitalMedical

Responsibilities

Accurate, timely and compliant claim submission

Confirmation of electronic and hard-copy billing of any delinquent claims. Rebilling & follow-up of all delinquent claims

Responds to all patient and payer inquiries, denials, correspondence & telephone inquires

Maintains all reports (contract management) files and records as needed; i.e., medical records, referrals, pre- certification letters etc

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; i.e., capitated labs

Maintains Contract Management reporting (i.e., payment errors, carve out billings ) and updates any information as needed or requested by supervisor

Applies cash received to appropriate accounts. Refunds all overpayments as necessary

Maintains departmental policies and procedures

Adheres to all policies and procedures related to compliance with all federal & state billing & collection regulations & third party contractual obligations

Fulfills all compliance responsibilities related to the position