Hartford HealthCare · 1 month ago
Cust Svc Dispute Resol Analyst / PA Customer Service
Farmington, CT
Full-time
Onsite
Mid Level
3+ years expHartford HealthCare is Connecticut’s most comprehensive healthcare network, and they are seeking a Customer Service Dispute Resolution Analyst. This role is responsible for analyzing, investigating, and resolving customer service requests related to billing and reimbursement, requiring effective communication and critical thinking skills to de-escalate patient issues and ensure timely resolutions.
Health CareHealth DiagnosticsHospitalOncologyPharmaceuticalRehabilitation
Responsibilities
Responds and takes action related to calls, emails, and faxes related to patient billing in a timely and professional manner. Uses a patient-centric approach to answer questions and provide information
Understands healthcare billing and payer regulations to effectively communicate with patients about charges, payments and adjustments on their account
Investigates and analyzes patient inquiries/disputes surrounding charging, coding, payments, locations, services, insurance coverage, etc. Works with individuals when appropriate at various levels of the organization to find resolution on patient disputes. This includes managers, directors, clinicians, etc
Maintains thorough, organized, updated electronic listing of dispute statuses, accessible to management at any time
Establishes and maintains successful communication and interaction with members of departments vital to successful patient resolution, including, but not limited to: Patient Relations, Privacy and Compliance, Risk Management, HIM, Charge, A/R Follow Up, Denials, Coding, Remit, Site Managers, Practice Managers, as well as Vendor Contacts and Liaisons
Takes ownership of all escalated patient complaints and their resolution, ensuring adherence to timely, compliant and quality standards set by the department leadership team
Directs inquiries to appropriate departments if not related to insurance and patient balances
Works directly with the Customer Service Manager to identify trends, provide improved education, scripting etc. to prevent similar situations and improve patient experiences
Identifies barriers to efficient departmental operations and takes an active role in developing appropriate solutions using the H3W model
Must be knowledgeable about Epic Navigation and all self-pay workflows within the department. Ability to analyze accounts related to other self-pay workflows as requested
Researches and updates self-pay accounts (processes credits, return mail, bankruptcy, addresses, insurances, etc), processing financial assistance applications, and assists with Independence at Home billing
Qualification
Required
Minimum: Associates Degree
Minimum: 3-5 years of experience including insurance and self-pay billing, remit processing, patient access and/or collections experience
Minimum: Fluent in English
Outstanding customer service and interpersonal skills
Superior communication, organizational, and analytical skills
Understanding of Hospital and Professional revenue cycle
Ability to work in a high volume setting and respond to patient inquiries in a timely manner
Ability to identify and communicate payer and/or system trends
Knowledge of payer contracts, regulations and guidelines, as well as State and Federal laws relating to billing, collection, and financial assistance procedures
Familiar with medical and insurance terminology
Proficient in the use of a computer and relevant hospital software applications
Preferred
Bachelor's Degree
Minimum of 1 year of experience in a multi-entity system with EPIC. Previous experience in patient relations or customer service for a healthcare entity
Fluent in English, Spanish and Polish
Benefits
Competitive benefits program designed to ensure work/life balance
Company
Hartford HealthCare
Hartford HealthCare is a group of hospitals that offers complete healthcare services including cancer care, rehabilitation and pharmacy.
10001+ employees
H1B Sponsorship
Hartford HealthCare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (2)
2023 (4)
2022 (6)
2021 (4)
2020 (8)
Funding
Current Stage
Late StageTotal Funding
$150MKey Investors
Connecticut Health and Educational Facilities Authority
2024-04-01Debt Financing· $150M
Leadership Team
Jeffrey Flaks
President & Chief Executive Officer
Bimal Patel
President and COO
Recent News
Hartford Business Journal
2025-12-18
Company data provided by crunchbase