WCHN Western Connecticut Health Network Patient Financial Services Reimbursement Analyst in Bethel, Connecticut
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.
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.
Shift: Day 8
Work Schedule: Variable between 7:00 am and 7:00 pm
Department: 8128 / CBO
External Company Name: Western Connecticut Health Network
External Company URL: http://www.westernconnecticuthealthnetwork.org/