Revenue Cycle AR Specialist - Hybrid

Revenue Cycle AR Specialist I - Full Time Hybrid

Join to apply for the Revenue Cycle AR Specialist I - Full Time Hybrid role at Connecticut Children’s

Applicants must reside in Connecticut, Massachusetts, or New York, or be willing to relocate. The Revenue Cycle AR Specialist I is responsible for resolving insurance balances, following up with payors, and submitting appeals and reconsideration requests on rejected and denied claims.

• Accurately resolve insurance balances after payment or adjudication and identify patient liability.
• Follow-up with payers to ensure timely resolution of all outstanding claims via phone, email, fax, or websites.
• Leverage resources and systems to analyze patient accounting information and take appropriate action for payment resolution; document all activity.
• Coordinate appeals when claims are denied and partner with medical care team members on complex appeals.
• Submit LOMN and other drafted appeals on rejected and denied claims and follow up to ensure payment.
• Escalate claims that are not overturned and engage internal teams for denials review.
• Collaborate on special projects using spreadsheets and communicate results; perform other job-related duties as assigned.

• High School Diploma, GED, or equivalent.
• Minimum 1 year completed experience in a Healthcare Revenue Cycle role.
• Associate’s Degree in Healthcare Management, Finance, or related field (preferred).
• Experience with Epic and patient billing preferred.

Connecticut Children’s is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy spanning more than 100 years, Connecticut Children’s offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states.