Danbury Health Systems Danbury , CT 06811
Posted 3 weeks ago
Nuvance Health is a network of convenient hospital and outpatient locations - Danbury Hospital, New Milford Hospital, Norwalk Hospital, and Sharon Hospital in Connecticut and Northern Dutchess Hospital, Putnam Hospital Center, and Vassar Brothers Medical Center in New York - plus multiple primary and specialty care physician practice locations including The Heart Center and non-acute care affiliates.
Summary:
Maintain accurate and timely claim submission for designated groups of accounts by payer. Insure claims are compliant with State and Federal billing regulations and contractual obligations. Collect cash from third-party payers and patients. Expedite inquiries by email, mail or phone as related to the designated group of accounts. Insure accurate and timely application of cash received. Process statements to insure an effective billing system.
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
Respond to patient and payer inquiries, denials, correspondence, & telephone inquiries
Maintain reports, contract management files, and records as needed, i.e., medical records, referrals, pre-certification letters etc.
Advise other areas of updated insurance information and claim denials, i.e., registration
Follow-through with education of rules and regulations in the managed care system as well as State & Federal guidelines
Adjust account balances to specific account needs, i.e., capitated labs
Maintain Contract Management reporting, i.e., payment errors, carve-out billings, and update information as needed/requested by supervisor
Apply cash received to appropriate accounts and refund overpayments
Requirements:
High School Diploma or GED and one year of data entry and customer service experience
Basic MS Excel, Outlook, Teams and Word skills
Preference given to applicants with experience in billing and collections and/or Medical Office/Healthcare experience
Location: The Summit, 100 Reserve Rd., Danbury, CT/Hybrid after successfully completing 90-day probation
Work Type: Full-Time/40 HR.
Work Schedule: 8AM-4:30pm, 7AM-3:30PM, 7:30AM-4PM, hybrid after completing probation successfully
Exempt: No
Grade: S3
Salary Range:
$16-$28/HR./DOE
Working Conditions:
Significant manual skills/motor coordination & finger dexterity
Little or no potential for occupational risk
Sedentary/light effort; may exert up to 10 lbs. force
Generally pleasant working conditions
EOE including disability/veterans
We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.
Danbury Health Systems