Part Time Claims Coordinator

POSITION SUMMARY

ABH has been a cornerstone of Connecticut's behavioral health system, partnering with state agencies, providers, and communities to strengthen access and quality of care. As a nonprofit, we're driven by our mission to manage mental health and substance abuse services, provide technology, and represent best practices. This role involves processing and adjusting claims for various programs while supporting the claims denial review process.

DUTIES AND RESPONSIBILITIES

• Process and adjust claims for BHRP-Clinical, BHRP-Basic, Military Support, and Pre-Trial Intervention programs
• Conduct weekly claims audits with emphasis on high-dollar submissions and compile audit reports
• Manage check runs and eligibility file uploads as needed
• Aid with weekly and monthly financial reporting
• Support the claims denial review process and special claims projects
• Respond to provider and staff inquiries about claims status, eligibility, and benefits
• Assist in training new and existing claims staff
• Maintain working knowledge of CPT and ICD-10 codes, behavioral health insurance terminology, and HCFA/UB-04 claim form requirements
• Uphold confidentiality of all protected health information in accordance with HIPAA policies

WORK ARRANGEMENT

This is a part-time, hybrid position offering real flexibility. Much of the work can be performed remotely, and we support work-from-home when responsibilities and workflows allow for it.

WHY JOIN ABH

• Part-time schedule with genuine work-life flexibility
• Hybrid work arrangement with meaningful WFH opportunity
• Contribute to a mission-driven nonprofit that has been a cornerstone of Connecticut's behavioral health system
• Collaborative team environment at a stable, established organization
• Opportunities for growth across a diverse range of programs and functions

REQUIREMENTS

• Education and Experience: Associate's degree/Bachelor's preferred in business or related field; Three years of demonstrated work experience in claims processing or in the behavioral health customer service field
• Knowledge/Skills/Abilities: In-depth knowledge of ABH's various utilization management and claims systems; Must be flexible to respond quickly and positively to shifting demands; Strong attention to detail; Ability to work on multiple tasks and meet deadlines; Excellent PC skills with demonstrated experience using Microsoft Office Package (MS Word, Excel, Outlook); Strong written and verbal communication skills required

STATEMENT OF NONDISCRIMINATION

ABH is an equal opportunity employer committed to a diverse and inclusive workplace. We do not discriminate based on race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other characteristic protected by law.