Junior Patient Financial Reimbursement Specialist

Nuvance Health; Danbury (CT); Hybrid; USD 28,000 - 40,000; Full time

Benefits offered by this job

Paid Time Off

Medical, Dental and Vision Coverage

Health Savings Account

401(k) Retirement Plan

Basic Life and AD&D insurance

Wellness Programs

Employee Assistance Program

Team Member Discounts

Job summary

Nuvance Health is seeking a Patient Accounting/billing professional in Danbury, CT in a hybrid-remote role. The position focuses on claims submission, payment application, denial management, and follow-up to ensure optimal reimbursement.

The role requires a high school diploma, data entry and customer service experience, with at least six months of experience; billing/collections or healthcare experience is preferred.

Qualifications

• High School Graduate or Equivalent is required.
• Data entry and customer service experience are required.
• Minimum experience is six months.
• Experience in billing and collections or Medical Office/Healthcare preferred.

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 Organizations values.
• Demonstrates regular, reliable and predictable attendance.
• Performs other duties as required.

Skills

Data entry

Customer service

Education

High School Graduate or Equivalent

Job description

Nuvance Health is seeking a Patient Accounting/billing professional in Danbury, CT in a hybrid-remote role. The position focuses on claims submission, payment application, denial management, and follow-up to ensure optimal reimbursement.

The role requires a high school diploma, data entry and customer service experience, with at least six months of experience; billing/collections or healthcare experience is preferred.