Top 34 Senior claims specialist Jobs in Meriden Ct

Senior Medical Billing & Coding Specialist
The Talcott Center for Child Development —Farmington, CT
- $90,000 - $110,000 a year
- Full-time
- 3 years
- High school diploma or GED
- Analysis skills
- Health insurance
- Paid time off
Quick Apply
Senior Revenue Cycle Specialist
LHH US —Cheshire, CT
- $25 - $30 an hour
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Commuter assistance
- Paid holidays
Quick Apply
SOAR Specialist
Friendship Service Center, Inc. —New Britain, CT
- $23 - $25 an hour
- Part-time
- Spanish
- Microsoft Excel
- English
- Health insurance
- Dental insurance
Quick Apply
13d
Senior Specialist, Project Engagement (Hybrid Schedule)
Eversource Energy Service Company —Hartford, CT
- $115,690 - $128,540 a year
- Full-time
- Hybrid work
- Spanish
- Marketing
- Office
3d
Auto and General Liability Claims Specialist
The Hartford —Hartford, CT
- $107,600 - $161,400 a year
- Full-time
- Remote
- 7 years
- Analysis skills
- Bachelor's degree
Director of Field Claims - Federal Workers' Compensation
AIG —Farmington, CT
- Email
- Office
- Analysis skills
- Mentoring
- Health insurance
Quick Apply
Ability Analyst Paid Family Medical Leave
The Hartford —Hartford, CT
- $48,071 - $76,267 a year
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- Office
- Paid holidays
- Disability insurance
3d
MPPS Policy Deviations Senior Manager
CVS Health —Hartford, CT
- $67,900 - $182,549 a year
- Full-time
- Nursing
- 5 years
- Bachelor's degree
- Health insurance
- Dental insurance
Claims Specialist / Claims Manager
The Misch Group —Madison, CT
- Up to $100,000 a year
- Full-time
- Senior level
- Leadership
- Communication skills
- Paid holidays
- Health insurance
Quick Apply
Complex Claims Specialist
Berkley —West Hartford, CT
- $135,000 - $150,000 a year
- Full-time
- Customer service
- 8 years
- Bachelor's degree
- Profit sharing
- Health insurance
Senior Privileged Access Management Specialist -IT (Hybrid)
Intact Insurance Specialty Solutions —Farmington, CT
- $111,000 - $178,000 a year
- Full-time
- Hybrid work
- Azure
- Computer Science
- 5 years
- Paid parental leave
- Disability insurance
Quick Apply
Strategic Resolution Group, Senior Technical Specialist Claim Professional
The Travelers Companies, Inc. —Hartford, CT
- $94,400 - $155,800 a year
- Hybrid work
- Databases
- High school diploma or GED
- Bachelor's degree
- Wellness program
- Continuing education credits
Sr. Litigation Specialist -Remote
CSAA Insurance Services, Inc. —Hartford, CT
- $89,865 - $119,800 a year
- Extended hours
- Remote
- Bilingual
- Bachelor of Science
- High school diploma or GED
- 401(k) matching
Specialist, Lean/Continuous Improvement
Mobis Parts America, LLC. —South Windsor, CT
- $54,363.95 - $80,186.83 a year
- Word processing
- Computer literacy
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
Senior Specialist - CyberSecurity
LTM —Hartford, CT
- $100,000 - $130,000 a year
- 7 years
- Analysis skills
- Continuous improvement
- Paid parental leave
- Paid holidays
Quick Apply
Senior Workers' Compensation Claims Examiner - Federal Claims
AIG Claims, Inc. —Farmington, CT
- $73,000 - $96,000 a year
- Email
- Customer service
- Writing skills
- Office
- Health insurance
Quick Apply
Senior Claim Technical Specialist
IFG Companies —Hartford, CT
- $110,000 - $120,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Paid parental leave
- Disability insurance
Quick Apply
Claim Specialist - Complex Liability Solutions
The Hartford —Hartford, CT
- $107,600 - $161,400 a year
- Full-time
- Hybrid work
- Office
- Analysis skills
- Bachelor's degree
Construction Bodily Injury Claim Specialist
The Hartford —Hartford, CT
- $107,600 - $161,400 a year
- Full-time
- Hybrid work
- 7 years
- Office
- Analysis skills
13d
Senior Analyst - North America
Beazley Management Limited —West Hartford, CT
- $140,000 - $180,000 a year
- Oracle
- CPA
- 5 years
- Travel reimbursement
- Paid parental leave
4d

I want to receive the latest job alert for senior claims specialist in meriden ct

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

senior claims specialist jobs near meriden ct

Senior Medical Billing & Coding Specialist

The Talcott Center for Child Development -
Farmington, CT

Quick Apply

Job Details

Full-time
$90,000 - $110,000 a year

Benefits

Health insurance
Paid time off
401(k) matching

Qualifications

Dashboard development
Appeals
Teamwork
Overseeing healthcare denial management
Metrics Reporting
Medical coding experience in outpatient clinics
High school diploma or GED
Certified Professional Coder
Bachelor's degree
Clinical information systems
Certified Coding Specialist
Medical insurance appeals management
Management reporting
Insurance claims appeal handling
Healthcare performance metrics analysis
Analytics

Full Job Description

Senior Medical Billing & Coding Specialist (Revenue Cycle – Pediatric Therapy | )

About The Talcott Center for Child Development

The Talcott Center for Child Development is a multidisciplinary pediatric provider based in Farmington, Connecticut, offering Applied Behavior Analysis (ABA), Speech Therapy, Occupational Therapy, Physical Therapy, Family Counseling, and Developmental Diagnostic Services.

Our model is built on integrated, family-centered care and a commitment to clinical and operational excellence. As we continue to grow, we are investing in building a best-in-class revenue cycle function that ensures accuracy, compliance, and long-term sustainability.

Position Overview

We are seeking a Senior Medical Billing & Coding Specialist with active coding certification (CPC, CCS, or equivalent) to take a leading role in strengthening our billing operations and revenue cycle performance.

This is a high-impact role responsible for:

Ensuring coding accuracy and compliance across multiple service lines
Driving clean claim performance and denial reduction
Designing and reporting on key revenue cycle KPIs
Identifying and implementing process improvements across billing and coding workflows

The ideal candidate brings deep expertise in outpatient therapy, diagnostic evaluation, and family-centered services billing, with the ability to move beyond execution into systems design and performance optimization.

Key Responsibilities

Billing & Revenue Cycle Execution

Oversee accurate charge capture, coding validation, and claim submission across:
ABA (Applied Behavior Analysis)
Speech, Occupational, and Physical Therapy
Family Counseling and Developmental Diagnostic Services
Manage the full claim lifecycle: submission, adjudication, denial resolution, and appeals
Ensure timely and accurate payment posting and account reconciliation

Coding & Compliance Leadership

Serve as internal subject matter expert on CPT, ICD-10, and payer-specific billing requirements, including:
Therapy and ABA service codes
Diagnostic evaluation codes (e.g., 90791 and related services as applicable)
Family counseling and developmental diagnostic services
Conduct routine coding audits to ensure accuracy, compliance, and optimal reimbursement
Interpret payer policies and navigate variability across commercial plans and managed care
Partner with clinical leadership to ensure documentation supports billed services

KPI Development & Reporting

Design, implement, and maintain revenue cycle KPIs and dashboards, including:
Clean claim rate
Denial rate and denial categories
Days in Accounts Receivable (AR)
Net collection rate
Time to claim submission
Produce weekly and monthly reporting with clear insights and actionable recommendations
Establish baseline performance and track measurable improvement over time

Revenue Optimization & Process Improvement

Analyze trends in denials, underpayments, and payer behavior across all service lines
Identify root causes and implement corrective actions to improve reimbursement and reduce rework
Develop and document standard operating procedures (SOPs) for billing and coding workflows
Support scaling of billing operations as the organization expands

Cross-Functional Collaboration

Collaborate with intake and client services teams on benefit structures and cost transparency when needed
Serve as an internal resource on billing, coding, and payer-specific nuances
Contribute to a culture of accountability, accuracy, and continuous improvement

Qualifications

Required

Active certification: CPC (AAPC), CCS (AHIMA), or equivalent
3–5+ years of medical billing and coding experience, with increasing responsibility
Strong knowledge of:
Outpatient therapy billing (ABA, SLP, OT, PT)
Diagnostic evaluation and family-centered service coding
Demonstrated experience with denial management, appeals, and revenue cycle analysis
Experience building or reporting on RCM KPIs and performance metrics
Proficiency with EMR / billing systems (CentralReach preferred or similar platforms)
Strong analytical, organizational, and communication skills

Preferred

Experience in pediatric and multidisciplinary therapy settings
Familiarity with multi-payer environments including Aetna, Anthem, UnitedHealthcare, Cigna, etc.
Experience with process design, workflow optimization, or system implementation
Comfort working in office or remote, collaborative environment
Bachelor's Degree preferred

Compensation & Structure

This role is positioned as a senior individual contributor with ownership of revenue cycle performance.

$90,000- $110,000 base salary, commensurate with experience
Potential to exceed range for candidates with deep specialty expertise , education, extensive RCM experience and demonstrated impact

Optional performance bonus tied to:

Clean claim rate improvement
Denial reduction
AR performance and collections

Work Structure

Onsite - Farmington CT

Benefits

Health insurance
401(k) with company match
Paid time off
Opportunity to play a central role in building a high-performing revenue cycle function

Why This Role Matters

This role sits at the intersection of clinical integrity, financial performance, and operational scale.

You will help build the systems that ensure families can access care, clinicians are supported, and the organization continues to grow with strength and discipline.

Equal Opportunity Employer
The Talcott Center for Child Development is an equal opportunity employer and does not discriminate based on race, color, religion, sex, national origin, age, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by law.

Job Type: Full-time

Education:

High school or equivalent (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

senior claims specialist jobs in meriden ct

Senior Medical Billing & Coding Specialist

Senior Revenue Cycle Specialist

SOAR Specialist

Senior Specialist, Project Engagement (Hybrid Schedule)

Auto and General Liability Claims Specialist

Director of Field Claims - Federal Workers' Compensation

Ability Analyst Paid Family Medical Leave

MPPS Policy Deviations Senior Manager

Claims Specialist / Claims Manager

Complex Claims Specialist

Senior Privileged Access Management Specialist -IT (Hybrid)

Strategic Resolution Group, Senior Technical Specialist Claim Professional

Sr. Litigation Specialist -Remote

Specialist, Lean/Continuous Improvement

Senior Specialist - CyberSecurity

Senior Workers' Compensation Claims Examiner - Federal Claims

Senior Claim Technical Specialist

Claim Specialist - Complex Liability Solutions

Construction Bodily Injury Claim Specialist

Senior Analyst - North America

I want to receive the latest job alert for senior claims specialist in meriden ct

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected