Revenue Cycle AR Specialist I - Full Time Hybrid

Revenue Cycle AR Specialist I - Full Time Hybrid

Join to apply for the Revenue Cycle AR Specialist I - Full Time Hybrid role at Connecticut Children's

Applicants must reside in Connecticut, Massachusetts, or New York, or be willing to relocate. The Revenue Cycle AR Specialist I is responsible for resolving insurance balances, following up with payors, and submitting appeals and reconsideration requests on rejected and denied claims.

Responsibilities

• Accurately resolve insurance balances after payment or adjudication and identify patient liability.
• Follow-up with payers to ensure timely resolution of all outstanding claims via phone, email, fax, or websites.
• Leverage resources and systems to analyze patient accounting information and take appropriate action for payment resolution; document all activity.
• Coordinate appeals when claims are denied and partner with medical care team members on complex appeals.
• Submit LOMN and other drafted appeals on rejected and denied claims and follow up to ensure payment.
• Escalate claims that are not overturned and engage internal teams for denials review.
• Collaborate on special projects using spreadsheets and communicate results; perform other job-related duties as assigned.

Qualifications

About Connecticut Children's

Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy spanning more than 100 years, Connecticut Children's offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states.

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