Connecticut Children's
Revenue Cycle AR Specialist I - Full Time Hybrid
Connecticut Children's, Hartford, Connecticut, us, 06112
Revenue Cycle AR Specialist I - Full Time Hybrid
Join to apply for the
Revenue Cycle AR Specialist I - Full Time Hybrid
role at
Connecticut Children’s
Applicants must reside in Connecticut, Massachusetts, or New York, or be willing to relocate. The Revenue Cycle AR Specialist I is responsible for resolving insurance balances, following up with payors, and submitting appeals and reconsideration requests on rejected and denied claims.
Responsibilities
Accurately resolve insurance balances after payment or adjudication and identify patient liability.
Follow-up with payers to ensure timely resolution of all outstanding claims via phone, email, fax, or websites.
Leverage resources and systems to analyze patient accounting information and take appropriate action for payment resolution; document all activity.
Coordinate appeals when claims are denied and partner with medical care team members on complex appeals.
Submit LOMN and other drafted appeals on rejected and denied claims and follow up to ensure payment.
Escalate claims that are not overturned and engage internal teams for denials review.
Collaborate on special projects using spreadsheets and communicate results; perform other job-related duties as assigned.
Qualifications
High School Diploma, GED, or equivalent.
Minimum 1 year completed experience in a Healthcare Revenue Cycle role.
Associate’s Degree in Healthcare Management, Finance, or related field (preferred).
Experience with Epic and patient billing preferred.
About Connecticut Children’s Connecticut Children’s is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy spanning more than 100 years, Connecticut Children’s offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states.
#J-18808-Ljbffr
Revenue Cycle AR Specialist I - Full Time Hybrid
role at
Connecticut Children’s
Applicants must reside in Connecticut, Massachusetts, or New York, or be willing to relocate. The Revenue Cycle AR Specialist I is responsible for resolving insurance balances, following up with payors, and submitting appeals and reconsideration requests on rejected and denied claims.
Responsibilities
Accurately resolve insurance balances after payment or adjudication and identify patient liability.
Follow-up with payers to ensure timely resolution of all outstanding claims via phone, email, fax, or websites.
Leverage resources and systems to analyze patient accounting information and take appropriate action for payment resolution; document all activity.
Coordinate appeals when claims are denied and partner with medical care team members on complex appeals.
Submit LOMN and other drafted appeals on rejected and denied claims and follow up to ensure payment.
Escalate claims that are not overturned and engage internal teams for denials review.
Collaborate on special projects using spreadsheets and communicate results; perform other job-related duties as assigned.
Qualifications
High School Diploma, GED, or equivalent.
Minimum 1 year completed experience in a Healthcare Revenue Cycle role.
Associate’s Degree in Healthcare Management, Finance, or related field (preferred).
Experience with Epic and patient billing preferred.
About Connecticut Children’s Connecticut Children’s is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy spanning more than 100 years, Connecticut Children’s offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states.
#J-18808-Ljbffr