Women's Health Connecticut · 16 hours ago
Revenue Cycle Claims Specialist
Rocky Hill, CT
Full-time
Hybrid
Mid, Senior Level
$22/hr - $24/hr
5+ years expWomen’s Health Connecticut is seeking to hire a Full-time Revenue Cycle Laboratory Claims Specialist. The role involves resolving insurance claims issues, identifying trends, and ensuring timely communication with insurance companies to facilitate cash flow.
Hospital & Health Care
Hiring Manager
Alexis Jackson
Responsibilities
Serves as a representative of Women’s Health Connecticut, displaying courtesy, tact, consideration, and discretion in all interactions with other members of the Women’s Health Communities, and the public
Review internal reports and system worklists to determine errors causing denial of claims/correct/resubmit claims based upon appropriate carrier guidelines
Utilizing follow up reports, and/or system tools, must contact appropriate insurance company in a timely manner to determine reason for non-payment of claims and claim appeals
Follow up with payers to facilitate uninterrupted cash flow
Respond in a timely manner by either telephone and or written communication to all requests from divisions, insurance companies and other members of the Women’s Health Communities
Research updates and mailings for insurance company information regarding changes and or new processes for lab coverage/processing
Utilizing websites for verification of patient benefit eligibility and claim status
Request necessary changes to insurance company guidelines/posting protocols for internal systems (I.E., Athena rules, RCx rules)
Trend and communicate any insurance issues to management in a timely manner
Provide feedback to Manager regarding any account issues
Follow internal protocols regarding departmental communications
Participate in initiative-taking team efforts to achieve departmental and company goals
Adhere to corporate compliance program guidelines and comply with all safety policies, practices, and procedures within the Women’s Health Communities
Maintain and respect the confidentiality of PHI (Protected Health Information) in accordance with insurance collection guidelines, corporate policy, and all HIPAA (Health Insurance Portability and Accountability Act) mandates
Candidate will have access to PHI based on the HIPAA minimum necessary standards
Other duties as assigned by management
Qualification
Required
High School Diploma or GED
Knowledge of CPT and ICD10 specific to laboratory billing
5 years prior experience insurance collections in a medical setting, lab billing/AR experience is a plus
Ability to set priorities
Ability to calmly manage stressful situations
Excellent verbal and written communication skills
Demonstrate strong computer skills (Excel/Outlook/One Note/Word, etc.) as evidenced by proficiency and/or training with applicable software
Ability to work in a fast paced environment
Ability to remain seated for up to 8 hours
Company
Women's Health Connecticut
We are devoted to providing resources and access to the best in healthcare for women.
51-200 employees
H1B Sponsorship
Women's Health Connecticut 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
2021 (2)
Funding
Current Stage
Growth StageLeadership Team
Paula Greenberg, MBA, BSN
President and Chief Executive Officer
Recent News
Hartford Business Journal
2025-06-05
Company data provided by crunchbase