By supporting partners and senior members of the RRC leadership team, executing key processes, guiding support staff, and contributing to financial and risk-mitigation efforts oversight, this role enhances engagement execution, improves team efficiency, and supports the firm’s ability to deliver high-quality client service to its clients. Individuals selected for this role will be eligible for a discretionary bonus based on firm and individual performance.
These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most - patient care.
East Hartford, CT10 days ago
Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL:
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
East Hartford, CT30+ days ago
Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. ABOUT CORVEL:
CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries.
Trumbull, Connecticut30+ days ago
a) Perform and/or supervise cable installation and patching at data centers, b) Monitor power management and installation performed by the data center service provider at data centers, c) Work on the data center facility preparation with project managers as requested, d) Coordinate with the data center service providers for facility infrastructure work including installation of additional cabinet, cabling, and power for projects and daily operation, e) Assist and manage telecom carriers' onsite installation and/or troubleshooting at data centers, f) Create and update documentation such as; operation runbook, floor layout, cabinet layout, cable patching information, system update instruction, etc for the two data centers, g) Racking and stacking the devices in data centers, h) Obtaining price estimates, ordering, and billing with data center service providers and other vendors, i) Capacity planning for data center engineering. Excellent coordination skills with multiple parties and stakeholders in order to complete a task in a timely manner.
Medicaid Specialist Summit at Plantsville Center for Health & Rehabilitation
Medicaid SpecialistPlantsville, Connecticut4 days ago
p>IMPORTANT: In order to be considered for this job opening, you must be a current State of CT employee, who has worked for the state for at least six (6) months of full-time service or full-time equivalent service, absent any applicable collective bargaining language, and meet the Minimum Qualifications as listed on the job opening. If the institution of higher learning is located outside of the U.S., you are responsible for providing documentation from a recognized USA accrediting service which specializes in determining foreign education equivalencies to the contact listed below by the closing date listed on the job posting.
p>What you'll likely work on: - Use impeccable C-I-CARE (a framework containing the key elements of a great interaction and effective communication that we use with patients and each other) in all patient interactions, both clinical and administrative, and ensure a fluid and positive in-office experience through patient intake, same day schedule management, appropriate follow up scheduling, strong knowledge of billing and insurance, monitoring patient feedback and assisting with outreach as necessary.
- Continue to care for our members beyond the lab room by answering patient messages, following up on lab cases and assisting our providers and virtual medical team with clerical duties such as, but not limited to biometric screening forms, medical record and consult review, billing inquiries, and DOH reporting.
Maintains a proficient understanding of third-party payer regulations and guidelines for transplant, surgical, chemotherapy, and radiation therapy service lines, including a working knowledge of medical necessity requirements for the pharmaceuticals and recurring services that these patients often require. Maintains a proficient understanding of third-party payer regulations and guidelines for transplant, surgical, chemotherapy, and radiation therapy service lines, including a working knowledge of medical necessity requirements for the pharmaceuticals and recurring services that these patients often require.
New Haven, Connecticut23 days ago
ul style="list-style:none">- Maintains a proficient understanding of third-party payer regulations and guidelines for transplant, surgical, chemotherapy, and radiation therapy service lines, including a working knowledge of medical necessity requirements for the pharmaceuticals and recurring services that these patients often require. Maintains a proficient understanding of third-party payer regulations and guidelines for transplant, surgical, chemotherapy, and radiation therapy service lines, including a working knowledge of medical necessity requirements for the pharmaceuticals and recurring services that these patients often require.
Greenwich, Connecticut30+ days ago
p style="margin:0px">Bachelor of Science degree in Exercise Science/Exercise Physiology or Mater's preferred 1 year recent relevant experience preferred Certification Requirements: Basic Cardiac Life Support by AHA Advanced cardiac Life Support by AHA Working towards ACSM Exercise Specialist Certification. The member must demonstrate knowledge of the principles of growth and development over the lifespan and possess the ability to assess data reflective of the individual's status and interpret the appropriate information needed to identify each individual's requirements relative to his or her age-specific needs, and to provide the care needed as described in the unit's/area's/department's policies and procedures.
p>WTW provides a competitive benefit package which includes the following (eligibility requirements apply):
East Hartford, CT30+ days ago
p>• Identifies root causes of insurance denials • Remains current with core knowledge of specific payer policies, contracts, and administrative bulletins • Communicates identified payer trends such as denials for specific procedure, diagnosis codes, or other identified issues • Accurately and compliantly resolves insurance balances after payment or adjudication, and correctly identifies any patient liability • Ensures accurate resolution of account to payment or payor terms • Follows up with payors to ensure timely resolution of all outstanding claims, via phone, emails, fax, or websites • 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 organization and payor policies • Coordinates appeal when claim is denied • May partner with medical care team members on complex appeals • Submits LOMN (Letter of Medical Necessity) and other drafted appeals and reconsiderations on rejected and denied claims • Sends appeals to payors and follows up to ensure payment is made • Continues to review account and escalates as necessary if denial is not overturned • Engages the CFC, UR, Revenue integrity, or coding follow-up team for any medical necessity, auth, or coding related to denials review • Sets follow-up activities based on status of the claim; ensures full and clear account documentation on account status within system • Collaborates as a part of a team on special projects by utilizing Excel spreadsheets and effectively communicates results • Performs other job-related duties as assigned. Experience: Minimum of 3 years Billing experience required in healthcare Rev Cycle with specialization in billing, account receivable follow-up, and denial management, with a High School Diploma/GED OR Minimum of 2 years direct experience with an Associate or Bachelors degree.
p>WTW provides a competitive benefit package which includes the following (eligibility requirements apply):