Job description

Nuvance Health has 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 locations.

This position requires working in office for the first 90 days and then work 2 days a week in office and 3 days a week work from home.

We offer full benefits, generous PTO, 401k, tuition reimbursement, and career advancement opportunities!

Summary:

Maintain accurate and timely claim submission for designated groups of accounts by payer. Ensure that all claims are compliant with State and Federal billing regulations and contractual obligations. Collect cash from third party payers and patients. Expedite inquiries by mail or phone as related to the designated group of accounts. Ensure accurate and timely application of cash received. Process statements to insure an effective billing system.

Responsibilities:

• Process accurate, timely and compliant claim submissions
• Confirm electronic and hard-copy billing of any delinquent claims.
• Rebill & follow-up on delinquent claims
• Respond to all patient and payer inquiries, denials, correspondence & telephone inquiries
• Maintain all reports (contract management) files and records such as medical records, referrals, and pre-certification letters
• Advise other areas of updated insurance information and claim denials
• Follow through with education of rules and regulations in the managed care system and State & Federal guidelines
• Adjust account balances to specific account needs
• Maintain Contract Management reporting (payment errors, carve out billings) and update any information
• Apply cash received to appropriate accounts
• Refund overpayments
• Maintain departmental policies and procedures
• Adhere to all policies and procedures related to compliance with all federal & state billing & collection regulations & third party contractual obligations

Requirements:

• Data entry
• Customer service experience
• Minimum experience of 6 months
• Experience in billing and collections or Medical Office/Healthcare experience preferred

Location: Summit-100 Reserve Rd

Work Type: Full-Time

Standard Hours: 40.00

Work Shift: Mon-Friday

Department: Patient Accounting Med Practice

EOE, including disability/vets.

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.

Job Type: Full-time

Pay: $19.00 - $24.00 per hour

Benefits:

• 401(k)
• Health insurance
• Paid time off
• Referral program
• Tuition reimbursement

Schedule:

• 8 hour shift

Ability to commute/relocate:

• Danbury, CT 06810: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Medical office: 1 year (Preferred)

Work Location: Hybrid remote in Danbury, CT 06810

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