Nuvance Health seeks a Patient Financial Services Reimbursement Specialist I to ensure optimal reimbursement by coordinating daily billing, compliance, and accounts receivable functions. You will be responsible for the end-to-end management of claims, payments, denials, and patient account follow-up.

What You'll Do

Accurately process claims, payments, rejections, refunds, credit balances, and unapplied cash on a daily basis and perform timely follow-up.
Confirm electronic and hard-copy billing of any delinquent claims, including rebilling and follow-up.
Respond to all patient and payer inquiries, denials, correspondence, and telephone inquiries.
Advise other areas, such as registration, of updated insurance information and claim denials.
Follow through with education on rules and regulations in the managed care system, as well as State & Federal guidelines.
Adjust account balances to specific account needs.
Maintain Contract Management reporting (e.g., payment errors, carve out billings) and update information as needed.
Review and resolve patient/insurance credit/debit balances and ensure proper communication is delivered to the patient.
Adhere to all policies and procedures related to federal, state, and departmental compliance.
Maintain and model the Organization's values.
Demonstrate regular, reliable, and predictable attendance.
Perform other duties as required.