Work where every moment mattersEvery day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryUnder the direction of Patient Financial Service PFS Accounts Receivable ARor Claims Supervisor assure timely and accurate submission of claims on UB or HCFA bills monitor responses from clearinghouse review Electronic File Transmission EFT responses respond on underpayments or overpayments via payer portal payer chat or payer customer service analyze claim adjustment reason codes analyze remittance advice remark codes and any revenue cycle activities associated with outstanding insurance balances across all Hartford HealthCare hospitals medical group and homecare These duties include the managing of the day to day work queue inflow dashboard monitoring weekly agingrsquos Work in Progress WIP account activity assignment and internal department collaboration with daily productivity and quality standards that are tracked and monitoredInitiates strategic practices for resolving payer issues with claims contract variances under payments and overpayments as well as researching insurance company issues such as network problems and workersrsquo compensation claims Communicates issues and trends to Leadership up to and not excluding payer representativesKeeps abreast of all regulations and standards to ensure compliance with governmentalregulatory agencies or commercial payers Assisting the organization to comply with all federalstate guidelines Responsible to meet quality standards cost effective products or services are delivered in support of the HHC core values strategic plan and established Patient Financial Services goals and objectives which is not limited to HHC receiving the appropriate paymentPosition ResponsibilitiesKey Areas of ResponsibilityFunctions as a proficient member of the team that is responsible for the timely cash collections of insurance payments for approximately million in active inventory and million in denialsWhen a claim is deniedA Takes appropriate action for payment resolution documents all activity in accordance with standard work B Maximizes insurance reimbursement timely with commercial and governmental payersC Responds to inquiries or follow up on issues and provide information to resolve outstanding balancesD Resolves denials underpayments no pays payer rejections claim edits and credit balances with commercial and governmental payersE Discovers root cause for denials underpayments or delay and propose opportunityF Discoversidentifies denials based on contract andor fee schedule G Performs due diligence in reconciling outstanding balances ensuring all efforts have been exhausted in resolving issues with payers prior to write offH Works with leadership to identify trend and address root causes of issues in the ARIntermittently exceeds productivity and quality performance expectationsCommunicates with peers management and internal colleagues to facilitate the flow of information Demonstrates HW Leadership BehaviorsActively seeks opportunities to model teamwork through collaboration both within and outside the workgroup in support of the organizationrsquos objectivesAssumes responsibility for self improvement in collaboration with superiorMaintains effective positive customer service ensuring the needs are met and educating staff on the importance of quality customer serviceFunctions as Daily Huddle LeaderPerforms other duties as assignedWorking RelationshipsThis Job Reports To Job Title AR Follow UpDenials SupervisorWork where every moment mattersEvery day over Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryUnder the direction of Patient Financial Service PFS Accounts Receivable ARor Claims Supervisor assure timely and accurate submission of claims on UB or HCFA bills monitor responses from clearinghouse review Electronic File Transmission EFT responses respond on underpayments or overpayments via payer portal payer chat or payer customer service analyze claim adjustment reason codes analyze remittance advice remark codes and any revenue cycle activities associated with outstanding insurance balances across all Hartford HealthCare hospitals medical group and homecare These duties include the managing of the day to day work queue inflow dashboard monitoring weekly agingrsquos Work in Progress WIP account activity assignment and internal department collaboration with daily productivity and quality standards that are tracked and monitoredInitiates strategic practices for resolving payer issues with claims contract variances under payments and overpayments as well as researching insurance company issues such as network problems and workersrsquo compensation claims Communicates issues and trends to Leadership up to and not excluding payer representativesKeeps abreast of all regulations and standards to ensure compliance with governmentalregulatory agencies or commercial payers Assisting the organization to comply with all federalstate guidelines Responsible to meet quality standards cost effective products or services are delivered in support of the HHC core values strategic plan and established Patient Financial Services goals and objectives which is not limited to HHC receiving the appropriate paymentPosition ResponsibilitiesKey Areas of ResponsibilityFunctions as a proficient member of the team that is responsible for the timely cash collections of insurance payments for approximately million in active inventory and million in denialsWhen a claim is deniedA Takes appropriate action for payment resolution documents all activity in accordance with standard work B Maximizes insurance reimbursement timely with commercial and governmental payersC Responds to inquiries or follow up on issues and provide information to resolve outstanding balancesD Resolves denials underpayments no pays payer rejections claim edits and credit balances with commercial and governmental payersE Discovers root cause for denials underpayments or delay and propose opportunityF Discoversidentifies denials based on contract andor fee schedule G Performs due diligence in reconciling outstanding balances ensuring all efforts have been exhausted in resolving issues with payers prior to write offH Works with leadership to identify trend and address root causes of issues in the ARIntermittently exceeds productivity and quality performance expectationsCommunicates with peers management and internal colleagues to facilitate the flow of information Demonstrates HW Leadership BehaviorsActively seeks opportunities to model teamwork through collaboration both within and outside the workgroup in support of the organizationrsquos objectivesAssumes responsibility for self improvement in collaboration with superiorMaintains effective positive customer service ensuring the needs are met and educating staff on the importance of quality customer serviceFunctions as Daily Huddle LeaderPerforms other duties as assignedWorking RelationshipsThis Job Reports To Job Title AR Follow UpDenials SupervisorRequirements and SpecificationsEducationmiddot Minimum High school diploma GED or equivalent middot Preferred Associatersquos degree in health care administration business management or financeExperiencemiddot Minimum years medical billing or accounts receivables in a medical facility or professional healthcare revenue cycle setting andor banking experiencemiddot Preferred years of medical billing andor accounts receivables experience in a large facility or professional healthcare revenue cycle settingLicensure Certification Registrationmiddot Preferred American Academy of Professional Coders AAPC or American Health Information Management Association AHIMA certificationKnowledge Skills and Ability Requirements middot Epic experience and working knowledge of Resolute Hospital and Professional billing modules preferred middot Understanding of medical and insurance terminology facility and professional billingreimbursement practicesmiddot Familiar with CPT revenue codes and ICD codesmiddot Excellent communication skills both written and verbal and interpersonal skillsmiddot Excellent analytical and problem solving skillsmiddot Comprehensive understanding of the operational aspects of the entire revenue cycle as well as basic medical and insurance terminology middot Ability to communicate effectively both orally and in writing strong computer and math skills requiredmiddot Skill in problem solving in a variety of settingsmiddot Skill in time management middot Ability to work efficiently under pressuremiddot Ability to operate a computer and related applications such as Word Excel PowerPoint etcmiddot Ability to work independently and take initiativemiddot Ability to demonstrate a commitment to continuous learning and to operationalize that learningmiddot Ability to deal effectively with constant changes and be a change agentmiddot Ability to deal effectively with difficult people andor difficult situationsmiddot Ability to willingly accept responsibility andor delegate responsibilitymiddot Ability to set priorities and use good judgment for self and peersmiddot Ability to exercise independent judgment in unusual or stressful situationsmiddot Ability to establish and maintain effective working relationshipsWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour momentRequirements and SpecificationsEducationmiddot Minimum High school diploma GED or equivalent middot Preferred Associatersquos degree in health care administration business management or financeExperiencemiddot Minimum years medical billing or accounts receivables in a medical facility or professional healthcare revenue cycle setting andor banking experiencemiddot Preferred years of medical billing andor accounts receivables experience in a large facility or professional healthcare revenue cycle settingLicensure Certification Registrationmiddot Preferred American Academy of Professional Coders AAPC or American Health Information Management Association AHIMA certificationKnowledge Skills and Ability Requirements middot Epic experience and working knowledge of Resolute Hospital and Professional billing modules preferred middot Understanding of medical and insurance terminology facility and professional billingreimbursement practicesmiddot Familiar with CPT revenue codes and ICD codesmiddot Excellent communication skills both written and verbal and interpersonal skillsmiddot Excellent analytical and problem solving skillsmiddot Comprehensive understanding of the operational aspects of the entire revenue cycle as well as basic medical and insurance terminology middot Ability to communicate effectively both orally and in writing strong computer and math skills requiredmiddot Skill in problem solving in a variety of settingsmiddot Skill in time management middot Ability to work efficiently under pressuremiddot Ability to operate a computer and related applications such as Word Excel PowerPoint etcmiddot Ability to work independently and take initiativemiddot Ability to demonstrate a commitment to continuous learning and to operationalize that learningmiddot Ability to deal effectively with constant changes and be a change agentmiddot Ability to deal effectively with difficult people andor difficult situationsmiddot Ability to willingly accept responsibility andor delegate responsibilitymiddot Ability to set priorities and use good judgment for self and peersmiddot Ability to exercise independent judgment in unusual or stressful situationsmiddot Ability to establish and maintain effective working relationshipsWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment