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. Ensure 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 ensure an effective billing system.

Responsibilities:

• Accurate, timely, and compliant claim submission.
• Confirmation of electronic and hard-copy billing of delinquent claims. Rebilling & follow-up of 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 updates any information as needed or requested by supervisor.
• Apply cash received to appropriate accounts. Refund overpayments as necessary.

Requirements:

• High School Diploma or GED and six months of customer service and data entry experience
• Preference given to applicants with experience in billing and collections and/or Medical Office/Healthcare
• Basic MS Excel, Outlook, Teams, Word skills

Location: The Summit, 100 Reserve Rd., Danbury, CT/hybrid after successful completion of probation

Work Type: Full-Time

Work Shift: M-F, 8:00AM-4:30PM, 7:00AM-3:30PM, 7:30AM-4:00PM

Department: Patient Accounting

Exempt: No

Grade: S4

Salary Range:

$18 - $26 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.