Job Description

Job Title: Hospital Claims Specialist (Hybrid role)

Location: Farmington, CT 06032

Type: 06 Months contract with possible extension

Shift: 1st shift (Monday to Friday)

Job description:

• 3+ years of Hospital (HB) claims follow up & denials resolution experience – Commercial, Managed Medicare & Government.
• EPIC system knowledge. Minimum years of experience : 2 years
• Able to investigate denied or rejected claims and take appropriate actions to resubmit.
• Able to submit reconsiderations and appeals.
• Knowledge of hospital claims adjudication & denials codes.
• Strong knowledge of medical terminology, Revenue codes, CPT/HCPCS codes, and insurance policies.
• Knowledge of payor under and over payments.
• Strong analytical & research skills.
• Knowledge of Microsoft 365 office suite software – especially Excel and Word.
• Ability to schedule and prioritize workflow.
• Ability to read and interpret complex instructions.
• Ability to work independently and manage multiple tasks efficiently.
• Ability to spot trends, able to prepare reports by collecting, analyzing, and summarizing information

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