Payment Recovery Specialist jobs in West Hartford, CT

Payment Recovery Specialist is responsible for analysis of denied reimbursement claims. Ensures appropriate insurance coverage for compliance standards and revenue generation. Being a Payment Recovery Specialist monitors, evaluates, and reviews all cost reporting in support of claims. Coordinates with departments and insurance companies to correct errors as necessary. Additionally, Payment Recovery Specialist requires a bachelor's degree in area of specialty. Typically reports to a supervisor or manager. To be a Payment Recovery Specialist typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

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Payment specialist
  • UnitedHealth Group
  • Hartford, CT FULL_TIME
  • You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

    Opportunities at Northern Light Health , in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve.

    As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here.

    Join our compassionate culture, enjoy meaningful benefits, and discover the meaning behind : Caring. Connecting. Growing together.

    This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8 : 00am 4 : 30pm EST.

    It may be necessary, given the business need, to work occasional overtime.

    We offer 4 weeks of paid training. The hours during training will be 8 : 00am to 4 : 30pm, Monday - Friday. Training will be conducted virtually from your home.

    Primary Responsibilities :

    • Actively participate in team huddles and meetings by way of sharing knowledge, requesting information, and recommending process improvements
    • Work closely by way of problem solving with peers and leaders to address payer underpayment and issues or changes that directly impact the accounts receivable
    • Resolve assigned accounts in a timely and accurate manner, which maximizes reimbursement in compliance with payer regulations and the department’s policy and procedures
    • Take necessary AR adjustments in accordance with the department’s adjustment policy
    • Meet or exceed the EMHS performance standards as it relates to quality and productivity
    • Reviews potential payment variances and identifies true discrepancies
    • Resolve payment disputes with payers by following appeal protocols and processes
    • Request relevant information from appropriate revenue cycle and clinical departments as required by payer
    • Advises management of payment variance issues which may require attention in a timely manner
    • Ensure all functions related to underpayments support the team goals and objectives as well as EMHS’s financial performance objectives
    • Thoroughly understand the department’s key performance indicators
    • Maintain the knowledge of payer policies; complete AAHAM or other healthcare related webinars
    • Attend internal education sessions to enhance or gain new skills
    • Demonstrate departmental desire to provide community benefits by way of charitable events or contribution outside the four walls of the department

    You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

    Required Qualifications :

    • Must be 18 years or older
    • 1 years knowledge of medical terminology, Current Procedural Terminology (CPT), and International Classification of Disease (ICD)
    • 1 years experience with payer regulations, principles of accounting, reimbursement concepts and automated account receivable systems
    • 1 years experience working overpayments related to Government, Commercial, and self-pay payors. Exposure to working with applicable regulatory guidelines related but not limited to Medicare and Medicaid programs.
    • Proficient with using Microsoft Office applications (Microsoft Excel, Microsoft Word, Microsoft PowerPoint, and Microsoft Outlook)
    • Ability to work our normal business hours of 8 : 00am 4 : 30pm EST. It may be necessary, given the business need, to work occasional overtime.

    Preferred Qualifications :

    • 1 years of healthcare underpayments experience
    • Experience with Northern Light Health patient accounting software

    Telecommuting Requirements :

    • Ability to keep all company sensitive documents secure (if applicable)
    • Required to have a dedicated work area established that is separated from other living areas and provides information privacy.
    • Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

    Soft Skills :

    • Possess strong problem-solving skills
    • Excellent professional communication skills; both oral and written
    • Customer oriented
    • Demonstrated ability to work independently and collaboratively

    California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only : The hourly range for California / Colorado / Connecticut / Hawaii / Nevada / New York / New Jersey / Washington / Rhode Island residents is $16.

    54 - $32.55 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc.

    In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

    No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

    RPO #GREEN

    Last updated : 2024-02-25

  • 1 Month Ago

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Payment Specialist/CSR (Bilingual - Spanish)
  • Pool Administrators Inc.
  • Glastonbury, CT FULL_TIME
  • Location: Glastonbury, Connecticut (In-Office)Hours: 11:30am-8pmSummary: Responsible for working in a fast paced environment and having strong interpersonal and communication skills, attention to deta...
  • 3 Days Ago

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Recovery Support Specialist
  • The Village For Families & Children
  • Hartford, CT FULL_TIME
  • Job Description: Starting annual salary:$43,000 and $45,500 for bilingual JOB SUMMARY The Recovery Support Specialist (RSS) has lived experience with recovery from mental health issues, Opioid Use Dis...
  • 21 Days Ago

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Women's Recovery Navigator/ Recovery Support Specialist
  • The Village For Families & Children
  • Hartford, CT FULL_TIME
  • Job Description: Starting annual salary $41,000 commensurate with experience JOB SUMMARY: The Women’s Recovery Navigator (WRN) works with pregnant and post-partum women who are at risk for or who have...
  • 9 Days Ago

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Recovery Support Specialist I: The HUB Manchester- 5449
  • CHR Career Opportunities
  • Manchester, CT FULL_TIME
  • With a career at CHR, you can look forward to a respectful workplace, an inclusive culture, and most importantly, a family. A career can mean different things at different workplaces. Apply now to see...
  • 1 Day Ago

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Bilingual Recovery Support Specialist: SSTRY- 5661
  • CHRHealth / Community Health Resources / CHR
  • Hartford, CT FULL_TIME
  • With a career at CHR, you can look forward to a respectful workplace, an inclusive culture, and most importantly, a family. A career can mean different things at different workplaces. Apply now to see...
  • 4 Days Ago

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0 Payment Recovery Specialist jobs found in West Hartford, CT area

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Recovery Specialist
  • Behavorial Health Network, Inc
  • Springfield, MA
  • Engage and support adults in recovery to take charge and grow with Behavioral Health Network! Join our team of competent...
  • 3/28/2024 12:00:00 AM

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Licensed Clinical Social Worker (LCSW) - Brain Injury and Stroke Recovery Specialist
  • Supported Living Group LLC
  • Hartford, CT
  • About SLG Founded and Headquartered in Danielson in 2006, with additional program locations established in Avon and Beth...
  • 3/28/2024 12:00:00 AM

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Quality Supervisor
  • Behavioral Health Network, Inc
  • Hartford, CT
  • Job Description Job Description Apply your experience with individuals working towards recovery from drug and alcohol ad...
  • 3/28/2024 12:00:00 AM

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Overnight Recovery Specialist
  • Behavorial Health Network, Inc
  • Holyoke, MA
  • Engage and support adults in recovery to take charge and grow with Behavioral Health Network! Join our team of competent...
  • 3/27/2024 12:00:00 AM

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Recovery Specialist - Opportunity House
  • Behavorial Health Network, Inc
  • Springfield, MA
  • Engage and support adults in recovery to take charge and grow with Behavioral Health Network! Join our team of competent...
  • 3/27/2024 12:00:00 AM

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Recovery Specialist
  • Behavorial Health Network, Inc
  • Springfield, MA
  • Join BHN in ensuring the care and safety of adults on the path to recovery from substance use! Join our team of competen...
  • 3/26/2024 12:00:00 AM

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Recovery Specialist
  • Behavorial Health Network, Inc
  • Springfield, MA
  • Engage and support adults in recovery to take charge and grow with Behavioral Health Network! Join our team of competent...
  • 3/25/2024 12:00:00 AM

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Overnight Recovery Specialist
  • Behavorial Health Network, Inc
  • Holyoke, MA
  • Engage and support adults in recovery to take charge and grow with Behavioral Health Network! Join our team of competent...
  • 3/24/2024 12:00:00 AM

According to the United States Census Bureau, the town has a total area of 22.3 square miles (57.7 km2), of which 21.9 square miles (56.6 km2) is land and 0.42 square miles (1.1 km2), or 1.91%, is water. The west side of West Hartford is flanked by the Metacomet Ridge, a mountainous trap rock ridgeline that stretches from Long Island Sound to nearly the Vermont border. Notable features of the Metacomet Ridge in West Hartford include Talcott Mountain and a number of highland water reservoirs belonging to the Metropolitan District, which maintains watershed and recreation resources on the proper...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Payment Recovery Specialist jobs
$52,668 to $69,302
West Hartford, Connecticut area prices
were up 1.7% from a year ago