Patient Financial Services Reimbursement Analyst 1
Company: Danbury Health Systems
Location: Bethel
Posted on: November 27, 2022
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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 physician practices locations, including The Heart Center, a
leading provider of cardiology care, and two urgent care offices.
Non-acute care is offered through various affiliates, including the
Thompson House for rehabilitation and skilled nursing services, and
the Home Care organizations.
Summary:
Maintains accurate and timely claim submission for designated
groups of accounts by payer. Insures that all claims are compliant
with State and Federal billing regulations and contractual
obligations. Collects cash from third party payers and patients.
Expedites inquires by mail or phone as related to the designated
group of accounts. Insures accurate and timely application of cash
received. Processes statements to insure an effective billing
system.
Responsibilities:
1. Accurate, timely and compliant claim submission. 2. Confirmation
of electronic and hard-copy billing of any delinquent claims.
Rebilling & follow-up of all delinquent claims. 3. Responds to all
patient and payer inquiries, denials, correspondence & telephone
inquires. 4. Maintains all reports (contract management) files and
records as needed; i.e., medical records, referrals,
pre-certification letters etc. 5. Advises other areas of updated
insurance information and claim denials; i.e., registration. 6.
Follows through with education of rules and regulations in the
managed care system, as well as, State & Federal guidelines. 7.
Adjusts account balances to specific account needs; i.e., capitated
labs. 8. Maintains Contract Management reporting (i.e., payment
errors, carve out billings ) and updates any information as needed
or requested by supervisor. 9. Applies cash received to appropriate
accounts. Refunds all overpayments as necessary. 10. Maintains
departmental policies and procedures. 11. Adheres to all policies
and procedures related to compliance with all federal & state
billing & collection regulations & third party contractual
obligations. 12. Fulfills all compliance responsibilities related
to the position. WCHN Position Description P
Other information:
Required: Data entry. Customer service experience required. Minimum
Experience: six months Desired: Experience in billing and
collections or Medical Office/Healthcare experience preferred.
Location: Bethel-14 Research Drive
Work Type: Full-Time
Standard Hours: 8.00
FTE: 1.000000
Work Schedule: Day 8
Work Shift: Monday - Friday 8:30 am - 5:00 hybrid
Org Unit: 1826
Department: Patient Accounting Med Practic
Exempt: No
Grade: S3
Salary Range:
15.0000 - 27.6700
Working conditions:
Essential:
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.
Keywords: Danbury Health Systems, New England , Patient Financial Services Reimbursement Analyst 1, Professions , Bethel, Northeast
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