POSITION SUMMARY: Claims Coordinator Behavioral Health Claims & Managed Care | Part-Time | Hybrid | Middletown, CT – must be a CT resident About ABH 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 across the state. As a nonprofit, we're driven by our mission. We manage mental health and substance abuse services, provide customized technology to operate programs efficiently, and participate in research representing best practices in the field. Behind all of it is a dedicated team making sure the operational and financial infrastructure runs the way it should and that's where this role comes in. If you are passionate about making a difference, aligned with our mission, and looking for a part-time opportunity that offers the flexibility to fit your life, we'd love to have you on our team. DUTIES AND RESPONSIBILITIES: Process and adjust claims for the 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 Assist 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 CT residence only - This is a part-time, hybrid position offering real flexibility. Much of this role's 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 ABH is an equal opportunity employer committed to a diverse and inclusive workplace.
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