Employment Type : Full-Time
Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center, and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care, and two urgent care offices. Non-acute care is offered through various affiliates, including the Thompson House for rehabilitation and skilled nursing services, and the Home Care organizations.
TITLE: Nuvance Health Billing and Collections Associate
DEPARTMENT: Patient Financial Services
REPORTS TO: Health Quest Manager of Billing & Collections
LOCATION: Danbury, CT (2 days onsite and 3 days remote)
SUMMARY:
This position is responsible for a variety of duties including, billing, collection, follow-up, appeals process, and credits to support the Health Quest System Business Office in delivering the highest level of service. The team performs, and all job-related duties as assigned.
RESPONSIBILITIES AND STANDARDS:
Assumes responsibility for the timely, accurate, and compliant BILLING activities for the Health Quest hospitals, including but not limited to:
Review and edit demographic information and other Pre-Billing functions
Process claims through electronic system correcting all errors prior to submission
Validate claims sent are received by Payer (NEIC report)
Enters all transactional comments into the system to assure accurate account documentation
Meets performance goals as defined by senior management (ex: clean claim rate, etc.)
Meets productivity and quality metrics daily/weekly
Maintains current knowledge of hospitals’ billing systems
Maintains current knowledge of billing forms and filing requirements
Maintains a current knowledge of various payer contracts
Maintains current knowledge of Federal, State, and managed care billing methodologies, rules, and regulations
Responsible for the FOLLOW-UP AND COLLECTION activities of the Health Quest hospitals, including but not limited to:
Works account according to the priority determined by electronic worklist
Corresponds with third-party payers, physician offices, and/or patients to obtain information
Escalates problems and high dollar accounts to the Supervisor for guidance and support; per guidelines stated in the PDU Policy and Procedure document
Meets performance goals as defined by senior management (ex: A/R > 90 days, credit balance reasons, etc.)
Meet daily and weekly productivity and quality goals
Informs Supervisors/Managers of key issues on a timely basis communicating key observations, issues, and trends
Enters all transactional comments into the system to assure accurate account documentation
Maintains current knowledge of effective follow-up and collection approaches
Maintains current knowledge of timely payment regulations and holds payers accountable. Escalates non-compliance to senior management
Maintains current knowledge of hospitals’ patient accounting systems (and other related tools)
Reviews credited accounts and processes insurance refunds
JOB QUALIFICATIONS:
Education:
Requires a High School Diploma or GED
Experience
: A minimum of one year in patient accounting preferred
Knowledge:
Medical Terminology, Knowledge of ICD-9 and CPT-4 codes, excellent verbal and written communication skills, attention to detail, general math skills documentation skills, and knowledge of procedures and revenue cycle flow in a healthcare organization.
License:
N/A
Location: The Summit at Danbury, CT
Work Type: Full-Time
Standard Hours: 40.00
FTE: 1.000000
Work Schedule: Day 8
Work Shift: M-F 8:00-4:30
Org Unit: 1017
Department: Patient Accounting
Exempt: No
EOE, including disability/vets.
We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.