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 SummaryResponsible for the timely and accurate collection of third party pay revenue cycle activities associated with timely collection of third party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare hospitals medical group and homecare to insure optimal revenue cycle performance The AR Follow Up Denials Specialist is responsible for resolving unpaid third party balances on million in active inventory and million in denials through account follow up appeals and resubmission actions This position reports directly to the AR Follow UP Denials Supervisor and works closely with other staff throughout the organizationKeeps abreast of all regulations and standards to insure compliance with governmentalregulatory agencies or third party payers Assisting the organization to comply with all federalstate guidelinesResponsible to insure high quality cost effective products or services are delivered in support of the HHC core values strategic plan and established Patient Financial Services goals and objectivesPosition ResponsibilitiesKey Areas of ResponsibilityResponsible for the timely cash collections of insurance payments for approximately million in active inventory and million in denials by following up directly with commercial and governmental payors to resolve denials underpayments and credit balancesThese numbers will increase with new acquisitionsIdentifies and analyzes denials and payment variances and takes action to resolve account including drafting and submitting appeals identify specific reason for underpayments denials and cause of payment delaysPerform due diligence in reconciling outstanding balances ensuring all efforts have been exhausted in resolving issues with payers prior to write offLeverages available resources and systems both internal and external to analyze patient accounting information and take appropriate action for payment resolution documents all activity in accordance with standard workRespond to inquiries or follow up on issues and provide information to resolve outstanding balancesWorks with leadership to identify trend and address root causes of issues in the AR Continually strives to improve quality and productivity by identifying improvement opportunities recommending and assisting to implement changes where there are opportunities for improvementAssists in development of standard work to improve accuracy and understanding of processesMeets or exceeds productivity and quality performance expectationsProviding support for other ad hoc analyses and projects as neededDemonstrates HW Leadership BehaviorsContinually strives to improve quality and productivity by identifying improvement opportunities recommending and assisting to implement changes where there are opportunities for improvementEffectively and continually communicates with peers management and customers to facilitate the flow of informationActively seeks opportunities to model teamwork through collaboration both within and outside the workgroup in support of the organizations objectivesAssumes responsibility for self improvement in collaboration with superiorMaintain effective positive customer service insuring the needs are met and educating staff on the importance of quality customer serviceWorking RelationshipsmiddotThis Job Reports To Job TitleAR Follow UpDenials SupervisormiddotIf applicable describe nature of supervision of any External vendors contractors affiliate organizations etcAssist supervisor with the tracking and monitoring of accounts receivables engagements with small balance out of state Medicaid and credit vendors as neededWork 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 SummaryResponsible for the timely and accurate collection of third party pay revenue cycle activities associated with timely collection of third party revenue cycle activities associated with outstanding insurance claims across all Hartford HealthCare hospitals medical group and homecare to insure optimal revenue cycle performance The AR Follow Up Denials Specialist is responsible for resolving unpaid third party balances on million in active inventory and million in denials through account follow up appeals and resubmission actions This position reports directly to the AR Follow UP Denials Supervisor and works closely with other staff throughout the organizationKeeps abreast of all regulations and standards to insure compliance with governmentalregulatory agencies or third party payers Assisting the organization to comply with all federalstate guidelinesResponsible to insure high quality cost effective products or services are delivered in support of the HHC core values strategic plan and established Patient Financial Services goals and objectivesPosition ResponsibilitiesKey Areas of ResponsibilityResponsible for the timely cash collections of insurance payments for approximately million in active inventory and million in denials by following up directly with commercial and governmental payors to resolve denials underpayments and credit balancesThese numbers will increase with new acquisitionsIdentifies and analyzes denials and payment variances and takes action to resolve account including drafting and submitting appeals identify specific reason for underpayments denials and cause of payment delaysPerform due diligence in reconciling outstanding balances ensuring all efforts have been exhausted in resolving issues with payers prior to write offLeverages available resources and systems both internal and external to analyze patient accounting information and take appropriate action for payment resolution documents all activity in accordance with standard workRespond to inquiries or follow up on issues and provide information to resolve outstanding balancesWorks with leadership to identify trend and address root causes of issues in the AR Continually strives to improve quality and productivity by identifying improvement opportunities recommending and assisting to implement changes where there are opportunities for improvementAssists in development of standard work to improve accuracy and understanding of processesMeets or exceeds productivity and quality performance expectationsProviding support for other ad hoc analyses and projects as neededDemonstrates HW Leadership BehaviorsContinually strives to improve quality and productivity by identifying improvement opportunities recommending and assisting to implement changes where there are opportunities for improvementEffectively and continually communicates with peers management and customers to facilitate the flow of informationActively seeks opportunities to model teamwork through collaboration both within and outside the workgroup in support of the organizations objectivesAssumes responsibility for self improvement in collaboration with superiorMaintain effective positive customer service insuring the needs are met and educating staff on the importance of quality customer serviceWorking RelationshipsmiddotThis Job Reports To Job TitleAR Follow UpDenials SupervisormiddotIf applicable describe nature of supervision of any External vendors contractors affiliate organizations etcAssist supervisor with the tracking and monitoring of accounts receivables engagements with small balance out of state Medicaid and credit vendors as neededEducationmiddotMinimal High school diploma or GEDmiddotPreferred Associatersquos degree in health care administration business management or financeExperiencemiddotMinimal years medical billing andor accounts receivables experience in a facility or professional healthcare revenue cycle settingmiddotPreferred years of medical billing andor accounts receivables experience in a large facility or professional healthcare revenue cycle settingLicensure Certification RegistrationmiddotPreferred AAPC or AHIMA certificationKnowledge Skills and Ability RequirementsmiddotEpic experience and working knowledge of Resolute Hospital and Professional billing modules preferredmiddotUnderstanding of medical and insurance terminology facility and professional billingreimbursement practicesmiddotFamiliar with CPT revenue codes and ICD codesmiddotExcellent analytical and problem solving skillsmiddotExcellent communication skills both written and verbal and interpersonal skillsmiddotKnowledge of state and federal regulations as they pertain to billing processes and proceduresmiddotKnowledge of insurance claim processing and third party reimbursementmiddotKnowledge and understanding of negotiated agreementsmiddotDemonstrated leadership in establishing and achieving goalsmiddotAbility to communicate effectively both orally and in writing strong computer and math skills requiredmiddotSkill in problem solving in a variety of settingsmiddotSkill in time managementmiddotAbility to work efficiently under pressuremiddotAbility to operate a computer and related applications such as Word Excel PowerPoint etcmiddotAbility to work independently and take initiativemiddotAbility to demonstrate a commitment to continuous learning and to operationalize that learningmiddotAbility to deal effectively with constant changes and be a change agentmiddotAbility to deal effectively with difficult people andor difficult situationsmiddotAbility to willingly accept responsibility andor delegate responsibilitymiddotAbility to set priorities and use good judgment for self and peersmiddotAbility to exercise independent judgment in unusual or stressful situationsmiddotAbility 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 isyourmomentEducationmiddotMinimal High school diploma or GEDmiddotPreferred Associatersquos degree in health care administration business management or financeExperiencemiddotMinimal years medical billing andor accounts receivables experience in a facility or professional healthcare revenue cycle settingmiddotPreferred years of medical billing andor accounts receivables experience in a large facility or professional healthcare revenue cycle settingLicensure Certification RegistrationmiddotPreferred AAPC or AHIMA certificationKnowledge Skills and Ability RequirementsmiddotEpic experience and working knowledge of Resolute Hospital and Professional billing modules preferredmiddotUnderstanding of medical and insurance terminology facility and professional billingreimbursement practicesmiddotFamiliar with CPT revenue codes and ICD codesmiddotExcellent analytical and problem solving skillsmiddotExcellent communication skills both written and verbal and interpersonal skillsmiddotKnowledge of state and federal regulations as they pertain to billing processes and proceduresmiddotKnowledge of insurance claim processing and third party reimbursementmiddotKnowledge and understanding of negotiated agreementsmiddotDemonstrated leadership in establishing and achieving goalsmiddotAbility to communicate effectively both orally and in writing strong computer and math skills requiredmiddotSkill in problem solving in a variety of settingsmiddotSkill in time managementmiddotAbility to work efficiently under pressuremiddotAbility to operate a computer and related applications such as Word Excel PowerPoint etcmiddotAbility to work independently and take initiativemiddotAbility to demonstrate a commitment to continuous learning and to operationalize that learningmiddotAbility to deal effectively with constant changes and be a change agentmiddotAbility to deal effectively with difficult people andor difficult situationsmiddotAbility to willingly accept responsibility andor delegate responsibilitymiddotAbility to set priorities and use good judgment for self and peersmiddotAbility to exercise independent judgment in unusual or stressful situationsmiddotAbility 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 isyourmoment