Revenue Cycle Specialist: Medical Claims & Denials

CHARTER OAK HEALTH CENTER INC; Hartford (CT); On-site; USD 30,000 - 39,000; Full time

Job summary

Charter Oak Health Center in Hartford, CT is seeking a Medical Reimbursement Specialist to manage and resolve outstanding insurance and patient accounts, ensuring timely and accurate reimbursement. You will work with ECW outsourcing, coding and front-end staff, payers to reduce AR days and improve cash flow.

Requires 2–4 years experience in healthcare billing; associate or higher degree a plus. This role emphasizes attention to payer guidelines and accurate data entry, using Excel for audits and

Qualifications

• Minimum 2–4 years of experience in healthcare accounts receivable, medical billing, and reimbursement.
• Experience with FQHC, hospital, or physician practice billing is a plus.
• Knowledge of CPT, ICD-10, and HCPCS coding principles.

Responsibilities

• Follow up on unpaid claims with payers promptly.
• Investigate and resolve claim denials and underpayments.
• Review EOBs and ERAs for accuracy.
• Submit corrected claims and appeals with documentation.
• Identify root causes of denials and share trends with leadership.
• Ensure compliance with payer guidelines and deadlines.
• Collaborate with front-end and coding teams to fix eligibility or coding issues.

Skills

Denial management

Medical billing

EHR systems

Accounts receivable

Analytical skills

Education

High school diploma or equivalent

Associate or bachelor’s degree in healthcare administration

Tools

eClinicalWorks

Job description

Charter Oak Health Center in Hartford, CT is seeking a Medical Reimbursement Specialist to manage and resolve outstanding insurance and patient accounts, ensuring timely and accurate reimbursement. You will work with ECW outsourcing, coding and front-end staff, payers to reduce AR days and improve cash flow.

Requires 2–4 years experience in healthcare billing; associate or higher degree a plus. This role emphasizes attention to payer guidelines and accurate data entry, using Excel for audits and