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HomeCompaniesFa Evav Saasfaprod1 Fa Ocs Oraclecloud Com CX 1Patient Accounts - Revenue Cycle AR Specialist II - 40hrs

Patient Accounts - Revenue Cycle AR Specialist II - 40hrs

Fa Evav Saasfaprod1 Fa Ocs Oraclecloud Com CX 1 · East Hartford, CT, United States; Hartford 10 Columbus Blvd, Hartford, CT, US · Hybrid · Active · Oracle Recruiting Cloud / Fusion HCM

Job facts

FieldValue
CompanyFa Evav Saasfaprod1 Fa Ocs Oraclecloud Com CX 1
TitlePatient Accounts - Revenue Cycle AR Specialist II - 40hrs
Normalized title-
Department / teamAdmin. & Ops. Support
LocationEast Hartford, CT, United States
Work modelHybrid / Hybrid
Employment type-
Salary-
Statusactive
ATS providerOracle Recruiting Cloud / Fusion HCM
Posted / first seen2026-01-09 / 2026-05-31
Changed / last seen2026-05-31 / 2026-06-06

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ATS provider jobsActive postings observed through Oracle Recruiting Cloud / Fusion HCM.Open
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City jobsActive postings in East Hartford.Open
Department jobsActive postings in Admin. & Ops. Support.Open
Work model jobsActive Hybrid postings.Open
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Original postingCanonical source or apply URL captured from the ATS.Open

Linked records

CompanyFa Evav Saasfaprod1 Fa Ocs Oraclecloud Com CX 1
Sourcee071707a-5ca1-4f69-8bd9-694992c47612
ATS providerOracle Recruiting Cloud / Fusion HCM

Description

Description The Revenue Cycle AR Specialist II is responsible for resolving insurance balances, following up with payors, and submitting appeals and reconsideration requests on rejected and denied claims. Ensures claims are paid by insurance carrier to the organization correctly. Works receivable inventory within department standards including, as applicable: maintaining assigned list of hospital or professional accounts; documenting agreement arrangements or reasons for outstanding balances; performs collection and follow up efforts; coordinating and/or posting adjustments, contractual allowances, or refunds within levels of authority. Identifies root causes of insurance denials. Remains current with core knowledge of specific payer policies, contracts and administrative bulletins AR Denials Specialist at this level has a solid understanding of under payment and credit balance process. Responsibilities 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 (i.e., contractual/payment review, etc.) and ensures accurate resolution of account to payment or payor terms; Follow-up with payers 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. Coordinate 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 follow up to ensure payment is made. Continue to review acct and escalate 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; ensure full and clear account documentation on account status within system. Collaborate as a part of a team on special projects by utilizing excel spreadsheets, and effectively communicate results Performs other job-related duties as assigned. Qualifications Education and/or Experience Required: Education: High School Diploma, GED, or a higher level of education that would require the completion of high school. 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 Education and/or Experience Preferred: Education: Associate’s Degree in Healthcare Management, Finance, or related field. Experience: Experience with Epic License and/or Certification Required: N/A Company Connecticut Children’s is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children’s offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members. At Connecticut Children’s, treating children isn’t just our job – it’s our passion. As a leading children’s health system experiencing steady growth, we’re excited to expand our team with exceptional team members who share our vision of transforming children’s health and well-being as one team.

Full job record

Job ID978bf0933dd83d2fb466173f29acd05140b9e5f6
Org ID63d577b2-83e4-429c-9d40-4e74a3aaf5e3
Source IDe071707a-5ca1-4f69-8bd9-694992c47612
Board IDe071707a-5ca1-4f69-8bd9-694992c47612
Provideroracle_hcm
Provider Job Key4412
TitlePatient Accounts - Revenue Cycle AR Specialist II - 40hrs
Normalized Title
Statusactive
Activeyes
Location TextEast Hartford, CT, United States; Hartford 10 Columbus Blvd, Hartford, CT, US
DepartmentAdmin. & Ops. Support
Team
Employment Type
Workplace Typehybrid
Remote Policyhybrid
CountryUnited States
RegionCT
CityEast Hartford
Salary RawDescription The Revenue Cycle AR Specialist II is responsible for resolving insurance balances, following up with payors, and submitting appeals and reconsideration requests on rejected and denied claims. Ensures claims are paid by insurance carrier to the organization correctly. Works receivable inventory within department standards including, as applicable: maintaining assigned list of hospital or professional accounts; documenting agreement arrangements or reasons for outstanding balances; performs collection and follow up efforts; coordinating and/or posting adjustments, contractual allowances, or refunds within levels of authority. Identifies root causes of insurance denials. Remains current with core knowledge of specific payer policies, contracts and administrative bulletins AR Denials Specialist at this level has a solid understanding of under payment and credit balance process. Responsibilities 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 (i.e., contractual/payment review, etc.) and ensures accurate resolution of account to payment or payor terms; Follow-up with payers 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. Coordinate 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 follow up to ensure payment is made. Continue to review acct and escalate 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; ensure full and clear account documentation on account status within system. Collaborate as a part of a team on special projects by utilizing excel spreadsheets, and effectively communicate results Performs other job-related duties as assigned. Qualifications Education and/or Experience Required: Education: High School Diploma, GED, or a higher level of education that would require the completion of high school. 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 Education and/or Experience Preferred: Education: Associate’s Degree in Healthcare Management, Finance, or related field. Experience: Experience with Epic License and/or Certification Required: N/A Company Connecticut Children’s is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children’s offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members. At Connecticut Children’s, treating children isn’t just our job – it’s our passion. As a leading children’s health system experiencing steady growth, we’re excited to expand our team with exceptional team members who share our vision of transforming children’s health and well-being as one team.
Salary Min
Salary Max
Salary Currency
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Source URLhttps://fa-evav-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/connecticutchildrenscareers/job/4412
Apply URLhttps://fa-evav-saasfaprod1.fa.ocs.oraclecloud.com/hcmUI/CandidateExperience/en/sites/connecticutchildrenscareers/job/4412
First Seen At2026-05-31 18:13:08Z
Last Seen At2026-06-06 11:15:25Z
Last Checked At2026-06-06 11:15:25Z
Last Changed At2026-05-31 18:13:08Z
Inactive At
Source Posted At2026-01-09 16:04:23Z
Source Updated At
Raw Payload Uris3://job-postings-prod-raw-590183727216/raw/provider=oracle_hcm/board=fa-evav-saasfaprod1.fa.ocs.oraclecloud.com|CX_1/date=2026-06-06/2026-06-06T11-15-02-851Z-03e3087bc348dc240ab519f304955fb695968972186e2656c5f2d574b946d3a7.json
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