Nuvance Health seeks a Patient Financial Services Reimbursement Specialist I to ensure optimal reimbursement by coordinating daily billing, compliance, and accounts receivable functions. You will be responsible for the end-to-end management of claims, payments, denials, and patient account follow-up.
What You'll Do
- Accurately process claims, payments, rejections, refunds, credit balances, and unapplied cash on a daily basis and perform timely follow-up.
- Confirm electronic and hard-copy billing of any delinquent claims, including rebilling and follow-up.
- Respond to all patient and payer inquiries, denials, correspondence, and telephone inquiries.
- Advise other areas, such as registration, of updated insurance information and claim denials.
- Follow through with education on rules and regulations in the managed care system, as well as State & Federal guidelines.
- Adjust account balances to specific account needs.
- Maintain Contract Management reporting (e.g., payment errors, carve out billings) and update information as needed.
- Review and resolve patient/insurance credit/debit balances and ensure proper communication is delivered to the patient.
- Adhere to all policies and procedures related to federal, state, and departmental compliance.
- Maintain and model the Organization's values.
- Demonstrate regular, reliable, and predictable attendance.
- Perform other duties as required.
What We're Looking For
- Data entry skills.
- Customer service experience.
- A minimum of six months of relevant experience.
Nice to Have
- Experience in billing and collections or Medical Office/Healthcare experience.
Benefits & Compensation
- Compensation: $19.54 - $27.00 Hourly.
Work Mode
This is an onsite position.
Nuvance Health is an equal opportunity employer.
