WCHN Western Connecticut Health Network

Patient Financial Services Reimbursement Analyst

US-CT-Bethel
3 months ago
ID
2017-7118
Standard Hours
Full Time 40 Hour
Shift
Day 8
Work Schedule
Variable between 7:00 am and 7:00 pm
Department
8128 / CBO

Job Summary

The primary function of the Patient Financial Services Reimbursement Analyst is to maintain accurate and timely claim submission for a designated groups of accounts.  Under the supervision of the Office Coordinator, the PFS Reimbursement Analyst:

  • Ensures accurate, timely and compliant claim submission, including confirmation of electronic and hard-copy billing of any delinquent claims; rebilling and follow-up of all delinquent claims.
  • Responds to all patient and payer inquiries, denials, correspondence and telephone inquires.
  • Maintains all reports (contract management) files and records as needed; i.e., medical records, referrals, precertification letters etc.
  • Advises other areas of updated insurance information and claim denials; i.e., registration.
  • Adjusts account balances to specific account needs; i.e., capitated labs.
  • Applies cash received to appropriate accounts. Refunds all overpayments as necessary.

 

Job Requirements

  • This position requires a minimum formal education of High School Diploma and a minimum of six months job-related experience.
  • Customer service experience required.
  • Experience in billing and collections or Medical Office/Healthcareexperience preferred.

 

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