Work where everymomentmattersEvery day more than 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 story of Hartford HealthCare is the story of transformation ndash from a handful of disconnected organizations a decade ago to a unified system with a shared value based culture of accountability and innovation The healthcare landscape has become highly competitive with new players and disruptive technology and we are working to expand and create our systemrsquos organizational leadership cultural and talent capabilities to ensure Hartford HealthCare will always be the firstThe Accounts Receivable Denial Specialist II assures 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 Accounts Receivable Denial Specialist II is responsible for the following when a claim is deniedmiddot Takes appropriate action for payment resolution documents all activity in accordance with standard work middot Maximizes insurance reimbursement timely with commercial and governmental payersmiddot Responds to inquiries or follow up on issues and provide information to resolve outstanding balancesmiddot Resolves denials underpayments no pays payer rejections claim edits and credit balances with commercial and governmental payersmiddot Discovers root cause for denials underpayments or delay and propose opportunitymiddot Discoversidentifies denials based on contract andor fee schedule middot Performs due diligence in reconciling outstanding balances ensuring all efforts have been exhausted in resolving issues with payers prior to write offmiddot Works with leadership to identify trend and address root causes of issues in the ARmiddot Intermittently exceeds productivity and quality performance expectationsWork where everymomentmattersEvery day more than 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 story of Hartford HealthCare is the story of transformation ndash from a handful of disconnected organizations a decade ago to a unified system with a shared value based culture of accountability and innovation The healthcare landscape has become highly competitive with new players and disruptive technology and we are working to expand and create our systemrsquos organizational leadership cultural and talent capabilities to ensure Hartford HealthCare will always be the firstThe Accounts Receivable Denial Specialist II assures 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 Accounts Receivable Denial Specialist II is responsible for the following when a claim is deniedmiddot Takes appropriate action for payment resolution documents all activity in accordance with standard work middot Maximizes insurance reimbursement timely with commercial and governmental payersmiddot Responds to inquiries or follow up on issues and provide information to resolve outstanding balancesmiddot Resolves denials underpayments no pays payer rejections claim edits and credit balances with commercial and governmental payersmiddot Discovers root cause for denials underpayments or delay and propose opportunitymiddot Discoversidentifies denials based on contract andor fee schedule middot Performs due diligence in reconciling outstanding balances ensuring all efforts have been exhausted in resolving issues with payers prior to write offmiddot Works with leadership to identify trend and address root causes of issues in the ARmiddot Intermittently exceeds productivity and quality performance expectationsEducationmiddot High school diploma GED or equivalentExperiencemiddot years medical billing or accounts receivables in a medical facility or professional healthcare revenue cycle setting andor banking experienceKnowledge Skills and Ability Requirementsmiddot 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 codesWe 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 momentEducationmiddot High school diploma GED or equivalentExperiencemiddot years medical billing or accounts receivables in a medical facility or professional healthcare revenue cycle setting andor banking experienceKnowledge Skills and Ability Requirementsmiddot 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 codesWe 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