Insurance Collector

Connecticut Orthopaedic Specialists Pc•Wallingford, CT

8d•Onsite

About The Position

The Insurance Collector is responsible for monitoring accounts to determine the timeliness of payment/collection. Duties for this position involve resolving denials and/or correspondence, providing follow-up communication as necessary, and re-billing outstanding accounts. This position closely works with the CO Billing Team and Collections Supervisor.

Requirements

Strong knowledge of insurance adjudication process
Strong ability to communicate well with insurance companies and co-workers
Demonstrate initiative and ability to multi-task while working independently
Strong organizational skills and systems aptitude
Solid computer skills including proficiency with Microsoft 365
Ability to work well with peers
Ability to problem solve and think proactively on how an insurance change or trend is/can affect insurance payments
EDUCATION: High School Diploma or GED required, Associates Degree or higher preferred
EXPERIENCE: Two years of experience with medical insurance collections or an equivalent combination of two years’ experience and education required

Nice To Haves

EMR experience preferred
Prior knowledge of CPT/modifiers and ICD-9/ICD-10 codes
Experience with insurance websites such as Availity and knowledge of MS 365 is a plus

Responsibilities

Monitor and resolve EDI dashboard for claim kick-out edits
Manage A/R thru system module and reports
Resubmit, appeal and follow-up on unpaid/incorrectly processed claims
Answer incoming insurance specific inquiries
Collect on insurance carrier accounts
Assist with process improvement to bring about greater claims resolution
Ensure the quality, integrity, and proper work effort of assigned tasks
Perform other tasks and related work as required
Follow all Connecticut Orthopaedics policies and procedures including but not limited to Human Resources, administrative, and HIPAA compliance
Perform other duties as assigned by their supervisor