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, a leading provider of cardiology care, and urgent care offices. Non-acute care is offered through our affiliates and the Home Care organizations.

Summary:
Maintain accurate and timely claim submission for designated groups of accounts by payer. Insure all claims are compliant with State and Federal billing regulations and contractual obligations. Collect cash from third-party payers and patients. Expedite inquiries received by mail, email, or phone. Insure accurate and timely application of cash received. Process statements to insure effective billing.

Responsibilities:
Accurate, timely and compliant claim submission

Confirmation of electronic and hard-copy billing of delinquent claims including billing & follow-up of delinquent claims

Respond to patient and payer inquiries, denials, correspondence, & telephone inquiries

Maintain reports/contract management files and records; i.e., medical records, referrals, pre-certification letters, etc.

Advise others 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

Minimum of one year of customer service and data entry experience

Preference given to applicants with Associates or Bachelors degree and/or Healthcare/Hospital medical billing and/or collections experience

FOR THE PROBATION PERIOD & TRAINING THIS POSITION REPORTS FULL-TIME TO THE OFFICE AND BECOMES HYBRID AFTER PROBATION & TRAINING ARE COMPLETE

Location: Summit-100 Reserve Rd., Danbury, CT

Work Type: Full-Time /Hybrid

Standard Hours: 40.00

Work Shift: M-F, 8am-4:30pm, 2 days in office

Exempt: No

Salary Range:
$16.00-24.00 Hourly

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.


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