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.

Requirements

EDUCATION AND EXPERIENCE REQUIREMENTS:

• Associate’s degree/Bachelor’s preferred in business or related field preferred;
• Three years of demonstrated work experience in claims processing or in the behavioral health customer service field;
• Attends trainings specific to job duties;
• Attends annual Conflict of Interest.

KNOWLEDGE/SKILLS/ABILITIES:

• In-depth knowledge of ABH’s various utilization management and claims systems created by ABH and used by all the GA staff;
• Must be flexible in order 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.
• Due to the need for in-person client support across Connecticut, this position requires residency within the state.