Hartford HealthCare · 11 hours ago
Accts Rec & Denial Spec 2 / PA Medicare Billing
Farmington, CT
Full-time
Onsite
Mid, Senior Level
3+ years expHartford HealthCare is Connecticut’s most comprehensive healthcare network, and they are seeking an Accounts Receivable & Denial Specialist to ensure timely and accurate submission of claims. The role involves managing the revenue cycle, resolving denials, and improving operational efficiency while maintaining compliance with regulations.
Medical DeviceBiotechnologyHealthcareHospitalPharmaceuticalHealth CareHealth DiagnosticsOncologyRehabilitation
Responsibilities
Functions as a high-level member of the team that is responsible for the timely cash collections of insurance payments for approximately $550+ million in active inventory and $70 million in denials
When a claim is denied
Takes appropriate action for payment resolution; documents all activity in accordance with standard work
Initiates, updates, resolves denials and payment variances and takes action to resolve account including drafting and submitting appeals, identifying specific reason for underpayments, denials and cause of payment delays. Maximizes insurance reimbursement timely with commercial and governmental payers
Resolves denials based on contract and/or fee schedule
Performs due diligence in reconciling outstanding balances ensuring all efforts have been exhausted in resolving issues with payers prior to write-off
Leverages available resources and systems (both internal and external) to analyze patient accounting information and take appropriate action for payment resolution; documents all activity in accordance with standard work
Prepares research and documentation in preparation for meetings with provider reps that will assist in resolution of payer specific issues
Works with leadership to identify, trend and address root causes of issues in the AR
Improves quality and productivity by identifying opportunities and assisting with workflow changes
Assists in development of standard work to improve accuracy and understanding of processes
Consistently exceeds productivity and quality performance expectations
Effectively and continually communicates with peers, management and customers to facilitate the flow of information. Demonstrates H3W Leadership Behaviors
Actively seeks opportunities to model teamwork through collaboration both within and outside the workgroup in support of the organization’s objectives
Assumes responsibility for self-improvement in collaboration with superior
Maintain effective positive customer service, ensuring the needs are met and educating staff on the importance of quality customer service
Provides support for other ad hoc analyses and projects as needed
Provide team support during team vacations and unexpected absence
Training support for onboarding of new colleagues
Functions as Daily Huddle Leader
Performs other duties as assigned
Qualification
Required
Minimum: High school diploma, GED or equivalent
Minimum: 3 years medical billing or accounts receivables in a medical facility or professional healthcare revenue cycle setting and/or banking experience
American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) certification
Understanding of medical and insurance terminology, facility and professional billing/reimbursement practices
Familiar with CPT, revenue codes and ICD10 codes
Excellent analytical and problem solving skills
Excellent communication skills both written and verbal and interpersonal skills
Knowledge of state and federal regulations as they pertain to billing processes and procedures
Knowledge of insurance claim processing and third party reimbursement
Knowledge and understanding of negotiated agreements
Demonstrated leadership in establishing and achieving goals
Ability to communicate effectively both orally and in writing, strong computer and math skills required
Skill in problem solving in a variety of settings
Skill in time management
Ability to work efficiently under pressure
Ability to operate a computer and related applications such as Word, Excel, PowerPoint, etc
Ability to work independently and take initiative
Ability to demonstrate a commitment to continuous learning and to operationalize that learning
Ability to deal effectively with constant changes and be a change agent
Ability to deal effectively with difficult people and/or difficult situations
Ability to willingly accept responsibility and/or delegate responsibility
Ability to set priorities and use good judgment for self and peers
Ability to exercise independent judgment in unusual or stressful situations
Ability to establish and maintain effective working relationships
Preferred
Preferred: Associate's degree in health care administration, business management or finance
Preferred: 4+ years of medical billing and/or accounts receivables experience in a large facility or professional healthcare revenue cycle setting
Epic experience and working knowledge of Resolute Hospital and Professional billing modules preferred
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, Hartford HealthCare
Bimal Patel
Executive Vice President/ Chief Operating Officer
Recent News
Hartford Business Journal
2026-02-12
Company data provided by crunchbase