Insurance Billing Manager

4 weeks ago


Bloomfield, Connecticut, United States Duncaster Inc Full time
Job Summary

The Third-Party Billing Manager is responsible for preparing, submitting, and managing insurance claims to Medicare and commercial insurers, ensuring accurate and timely reimbursement for healthcare services. This position also manages the accounts receivable function for Duncaster.

Key Responsibilities
  • Verify patient insurance coverage and eligibility before billing.
  • Prepare and submit clean claims to Medicare and commercial insurance payors, ensuring all necessary documentation is included.
  • Maintain current, comprehensive working knowledge of payer contracts and ensure that payors are billed according to contract provisions.
  • Monitor and follow up on unpaid or denied claims, working with Medicare and commercial insurers to resolve issues.
  • Reconcile accounts and manage accounts receivable aging reports.
  • Post payments and adjustments to patient accounts accurately.
  • Reconcile Medicare quarterly reports produced by the fiscal intermediary with the billing information system and prepare the quarterly CMS 838 (Credit Balance) form.
  • Collaborate with Senior Leadership to provide timely insight and communication regarding revenue and cash flow, and support operational initiatives as needed.
  • Review and analyze denied claims, determining the cause of denial.
  • Prepare and submit appeal letters and supporting documentation to Medicare and commercial insurers.
  • Track the status of appeals and work to resolve them promptly.
Requirements
  • Associate's degree in accounting, business administration, or related field is required, bachelor's degree is preferred.
  • Three years of progressively responsible experience in healthcare billing and collections management, preferably facility-based operations.
  • Electronic Health Record billing systems knowledge is required.
  • Must be able to speak, read, and write the English language in an understandable manner.
  • Must have a strong working knowledge of Microsoft Office applications (e.g., Word, Excel, Outlook, PowerPoint).
  • Demonstrated prior experience working well with others by contributing to the team cohesiveness.
  • Ability to perform work accurately and thoroughly and comprehend complex technical topics and specialized information related to the accounting function.
  • Ability to use thinking and reasoning to find a solution for or to deal proactively with work-related problems with the objective of making decisions or taking actions to solve a problem or reach a goal.
  • Ability to recognize and organize the parts of an issue in a systematic way; and to frame new ideas and courses of action.
Benefits
  • 401(k) with match and profit sharing.
  • Medical, dental, and vision insurance available the 1st of the month after hire.
  • Short-term and long-term disability.
  • Employee assistance program.
  • Paid time off.
  • Tuition reimbursement.
  • 10% tuition discount on all degree and certificate programs at Charter Oak.
  • Free Access to our Aquatic & Fitness Center & to our beautiful walking trails throughout our campus.
  • Discount employee lunches.
  • Duncaster Spotlight Employee Recognition Program.
  • Referral bonuses.
  • Free parking.
  • Shoes for Crews - discounted safety shoes for all staff.
  • Yearly performance increases plus additional bonus opportunities.
  • Employee Appreciation Events held throughout the year by our own 'Funcaster' Committee.
Work Environment
  • Ability to focus on task needs and perform intellectual executive functions as related to the functions of the business operation.
  • Ability to execute intellectual tasks and duties under conditions of high demand and distraction.
  • Ability to complete the essential functions of the position with or with adaptive personal devices (e.g., hearing aid, corrective lenses).
  • Ability to operate equipment and technology required for the position.
  • Must be able to communicate effectively.
  • Able to assist with the evacuation of residents under emergency status to the best of their physical ability.
  • Able to function independently with integrity and work effectively with residents, personnel, and support agencies.
  • Able to move intermittently throughout the workday.
  • Able to occasionally push and/or pull a force of up to 7 pounds as relates to file cart.
  • Able to reach overhead, bend, and occasionally carry or lift up to 25 pounds.


  • Bloomfield, Connecticut, United States Duncaster Inc Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Insurance Billing Manager to join our team at Duncaster Inc. As a key member of our revenue cycle team, you will be responsible for preparing, submitting, and managing insurance claims to Medicare and commercial insurers, ensuring accurate and timely reimbursement for healthcare services.Key...


  • Bloomfield, Connecticut, United States SCA Health Full time

    Job SummaryAs a Medical Insurance Collector at SCA Health, you will play a critical role in ensuring accurate and timely patient account follow-up. Your primary responsibility will be to thoroughly investigate and resolve self-pay and third-party reimbursement issues, working closely with insurance companies, patients, and internal teams to achieve this...


  • Bloomfield, Connecticut, United States Curt Smith - State Farm Agent Full time

    Insurance Account Position OverviewWe are seeking a qualified professional to join our team as an Insurance Account Representative. As a key member of our team, you will be responsible for providing exceptional customer service, working with our agent to establish and meet marketing goals, and developing leads to drive business...


  • Bloomfield, Connecticut, United States iCare Health Network Full time

    Job SummaryiCare Health Network is seeking a highly organized and detail-oriented Business Office Manager to oversee and manage facility A/R, resident trust accounts, general ledger and A/P. The ideal candidate will have long-term care billing experience and a working knowledge of various software programs.ResponsibilitiesManage facility A/R, resident trust...


  • Bloomfield, Connecticut, United States Ryder Full time

    Job SummaryThe Dispatch Coordinator position at Ryder is a vital role that assists in all aspects of the operation.Key ResponsibilitiesSupport the Central Dispatcher in the displacement of freight and drivers.Perform miscellaneous data entry tasks.Produce a daily Revenue Report and data entry of bills.Additional DutiesPerform other duties as assigned by...

  • Production Manager

    4 weeks ago


    Bloomfield, Connecticut, United States Randstad Full time

    We are seeking a skilled Production Manager to oversee the entire shop floor at a manufacturing company in Connecticut. The ideal candidate will have experience in production management, team supervision, and quality control. Key responsibilities include coordinating all activities, ensuring personnel are trained, and monitoring quality and safety. The...

  • Production Manager

    4 weeks ago


    Bloomfield, Connecticut, United States Randstad Full time

    Production Manager Job DescriptionWe are seeking a highly skilled Production Manager to oversee our manufacturing operations in Bloomfield, CT. The ideal candidate will have experience managing production teams in a manufacturing environment and possess excellent leadership and organizational skills.Key Responsibilities:Coordinate all activities on the shop...

  • Production Manager

    4 weeks ago


    Bloomfield, Connecticut, United States Randstad US Full time

    Production Manager Job DescriptionWe are seeking a skilled Production Manager to oversee the entire shop floor, planning, scheduling, and directing projects in a manufacturing environment. The ideal candidate will have experience in production management and be able to coordinate all activities in the shop.Key Responsibilities:Coordinate all activities in...


  • Bloomfield, Connecticut, United States RXO Inc. Full time

    Senior Operations ManagerRXO Inc. is a leading provider of transportation solutions, revolutionizing the industry with cutting-edge technology and a massive network. As a Senior Operations Manager, you'll oversee daily operations, including contractor schedules, route monitoring, and fostering positive working relationships with contract carriers and...

  • Logistics Manager

    4 weeks ago


    Bloomfield, Connecticut, United States Ryder System Full time

    Job Title: Logistics Manager - Yard OperationsWe are seeking a highly skilled and experienced Logistics Manager to join our team at Ryder System. As a Logistics Manager, you will be responsible for managing all activities associated with the efficient operation of accounts, including P&L responsibility, customer satisfaction, compliance, employee relations,...


  • Bloomfield, Connecticut, United States Marriott Full time

    **Job Summary:**As a Front Desk Representative at Marriott, you will be responsible for delivering exceptional service to guests from check-in to check-out. This role is crucial in creating a positive first impression and ensuring that all guest needs are addressed with professionalism and courtesy.**Key Responsibilities:**Greet guests upon arrival, confirm...


  • Bloomfield, Connecticut, United States Ryder Full time

    Job Summary:Ryder is seeking a skilled Logistics Operations Assistant to join our team. As a key member of our operations team, you will be responsible for assisting in all aspects of logistics operations, including freight coordination and dispatch support.Key Responsibilities:Assist in the coordination of freight movements and dispatch operationsSupport...


  • Bloomfield, Connecticut, United States LiquidPiston Full time

    Job Title: Assistant Program ManagerAbout the Role:We are seeking a highly skilled Assistant Program Manager to support our key programs at LiquidPiston. The successful candidate will play a crucial role in ensuring that all projects meet contractual and internal requirements.Key Responsibilities:- Support Project Managers and Chief Engineers by handling...


  • Bloomfield, Connecticut, United States The Cigna Group Full time

    Job SummaryAs a highly skilled Implementation Administrator, you will be responsible for administering the installation of assigned accounts, including structure and billing setup, eligibility collection, data base loading, ID cards, and preparation of plan materials. You will provide support to assigned accounts by responding to inquiries or resolving...


  • Bloomfield, Connecticut, United States SALAMANDER DESIGNS LTD Full time

    Job OverviewSalamander Designs is seeking a highly organized and detail-oriented Part-Time HR and AR Assistant to support our Human Resources and Accounts Receivable departments. As a key member of our team, you will play a crucial role in ensuring smooth and efficient operations in both areas.Key ResponsibilitiesHuman Resources:Assist in the recruitment and...


  • Bloomfield, Connecticut, United States The Cigna Group Full time

    Nurse Case Manager Specialist Job DescriptionThe Cigna Group is seeking a highly skilled Nurse Case Manager Specialist to join our team. As a key member of our healthcare team, you will play a critical role in promoting the improvement of health outcomes for our members.Key Responsibilities:Assess, plan, implement, coordinate, monitor, and evaluate options...

  • Production Manager

    4 weeks ago


    Bloomfield, Connecticut, United States Sanders Industries Holdings Full time

    Job Title: Production LeadIntegrated Polymer Solutions (IPS) is seeking a Production Lead to assist in training associates, set priorities based on production schedule, perform inspection measurements, and assist in safety risk assessment. The ideal candidate will have 3-5 years of experience in a manufacturing environment and possess basic leadership...


  • Bloomfield, Connecticut, United States The Cigna Group Full time

    Job SummaryWe are seeking a highly skilled Clinical Navigation and Support Care Manager to join our team at The Cigna Group. As a key member of our care management team, you will play a critical role in delivering a guided, predictable, and streamlined care experience for our customers.Your primary responsibility will be to help customers navigate the mental...


  • Bloomfield, Connecticut, United States The Cigna Group Full time

    Job SummaryThis is a full-time position that requires working weekends. Shift days and times may vary due to business need. All staff schedules include rotating shifts, weekends, and holiday time.About the RoleAs an Inpatient Care Manager at Evernorth, you will use your clinical knowledge and skills to evaluate appropriate health care services and treatment...


  • Bloomfield, Connecticut, United States LiquidPiston Full time

    Job OverviewWe are seeking a highly skilled Integration Engineer to join our team at LiquidPiston, Inc. As an Integration Engineer, you will be responsible for designing and developing complex electro-hydraulic-mechanical systems that meet customer project requirements and industry standards.Key ResponsibilitiesCollaborate with cross-functional teams to...