Insurance Collector I

Connecticut Orthopaedic Specialists Pc•Wallingford, CT

22h•$22 - $30•Onsite

About The Position

The Insurance Collector I 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

High School Diploma or GED required
Two years of experience with medical insurance collections.
Prior knowledge of CPT/modifiers and ICD-9/ICD-10 codes.

Nice To Haves

Associate's degree or higher preferred
EMR experience preferred.
Orthopaedic collections experience is preferred.
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
Process simple denials, resubmit, appeal and follow-up on unpaid/incorrectly processed claims
Work with Coding department to resolve claim rejections and appeals
Answer incoming insurance specific inquiries
Process basic insurance follow-up on claims
Communicate with insurance carriers for claim status and collect on 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