Revenue Cycle AR Specialist II
Connecticut Children's
full-time
Posted on:
Location Type: Office
Location: Hartford • Connecticut • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Responsible for 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.
- 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 preferred.
- Experience with Epic preferred.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
billingaccounts receivabledenial managementinsurance claims resolutionappeals submissioncontractual allowancescollection effortsadjustments postingroot cause analysis
Certifications
High School DiplomaGEDAssociate’s Degree in Healthcare ManagementBachelor’s Degree