Revenue Cycle AR Specialist II
Connecticut Children's
full-time
Posted on:
Location Type: Hybrid
Location: East Hartford • Connecticut • United States
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About the role
- Resolving insurance balances, following up with payors, and submitting appeals and reconsideration requests on rejected and denied claims.
- Ensures claims are paid by insurance carrier to the organization correctly.
- Works receivable inventory within department standards including, as applicable: maintaining assigned list of hospital or professional accounts; documenting agreement arrangements or reasons for outstanding balances; performs collection and follow up efforts; coordinating and/or posting adjustments, contractual allowances, or refunds within levels of authority.
- Identifies root causes of insurance denials. Remains current with core knowledge of specific payer policies, contracts and administrative bulletins.
Requirements
- High School Diploma, GED, or a higher level of education that would require the completion of high school.
- Minimum of 3 years Billing experience required in healthcare Rev Cycle with specialization in billing, account receivable follow up and denial management, with a High School Diploma/GED
- OR Minimum of 2 years direct experience with an Associate or Bachelors
- Associate’s Degree in Healthcare Management, Finance, or related field.
- Experience with Epic
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
billingaccounts receivable follow updenial managementinsurance claims resolutionappeals submissioncontractual allowancesadjustments postingcollection effortsroot cause analysis
Certifications
High School DiplomaGEDAssociate’s Degree in Healthcare ManagementBachelor’s Degree