JOB DETAILS

Medical-Denial Management Specialist

CompanyOrthopedic Assoc of Hartford P
LocationFarmington
Work ModeOn Site
PostedJune 5, 2026
About The Company
Orthopedic Associates of Hartford is Connecticut’s largest and most respected orthopedic specialty group. As a total orthopedic care center, our physicians specialize in orthopedic surgery and provide comprehensive orthopedic care for all ages.
About the Role

Description

Established in 1970, Orthopedic Associates of Hartford, P.C., is one of the areas largest orthopedic practices with office locations throughout greater Hartford.


Our growing practice is currently seeking a Medical-Denial Management Specialist (onsite 1-2 days remote) with Epic experience to join our Billing & Collections team in our Farmington, Connecticut business office. 
The Medical-Denial Management Specialist analyzes and resolves healthcare insurance claim denials by investigating reasons, preparing appeals, communicating with payers, and collaborating with billing staff to ensure proper reimbursement and prevent future denials. Thís role requires strong analytical, communication, and problem-solving skills, along with a thorough understanding of insurance policies, medical terminology, and healthcare billing procedures. The successful candidate will be a team player who is dependable, organized, enthusiastic, and detail oriented. Important to this position is the ability to build relationships with our customers, both internal and external, to promote feedback and timely resolution of outstanding claims. Proficiency in many computer software programs is required as well as an understanding of insurance payment methodologies to insure accurate reimbursement. A positive "can-do" attitude is a must.

Responsibilities include:

  • Following policies and procedures, timely and accurate follow up on claims for the resolution of outstanding balances.
  • Participates in the collection and documentation of claims processing rules.
  • Generates both electronic and hard copy claims for submission.
  • Obtains supporting documentation and other information required to insure acceptance of claim.
  • Interacts and communicates effectively with interdepartmental units when necessary.
  • Documents account information pertaining to claims submission and resolution.
  • Enters demographic data into the billing & collections software.
  • Assumes other duties and responsibilities as needed.

PM22 

Requirements


  • Two years recent experience in medical collections and/or medical billing with result oriented debt collections skills.
  • Familiarity with ICD-10 coding and Federal HIPAA regulations.
  • Computer skills, including Epic, electronic billing, Microsoft Word, Outlook and Excel.
  • Excellent written and verbal communication skills with a professional and courteous telephone manner.
  • High School diploma.
Key Skills
Denial ManagementEpicMedical BillingMedical CollectionsICD-10 CodingHIPAA RegulationsInsurance AppealsClaim ResolutionMicrosoft WordMicrosoft OutlookMicrosoft ExcelAnalytical SkillsCommunication SkillsProblem SolvingMedical TerminologyHealthcare Reimbursement
Categories
HealthcareFinance & AccountingAdministrative
Job Information
📋Core Responsibilities
The specialist analyzes and resolves healthcare insurance claim denials by investigating reasons and preparing appeals. They collaborate with billing staff and payers to ensure proper reimbursement and prevent future denials.
📋Job Type
full time
📊Experience Level
2-5
💼Company Size
171
📊Visa Sponsorship
No
💼Language
English
🏢Working Hours
40 hours
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