Insurance Collector

Connecticut Orthopaedic Specialists Pc•Wallingford, CT

2d•Onsite

About The Position

Connecticut Orthopaedics has been named as the #1 Physician Practice in Orthopaedics in Connecticut, as well as ranking in the Top 3 for Surgical Care and the Top 5 for Overall Physician Practices across the state by Castle Connolly. Do you want to join the Home to the Best Orthopaedic Doctors in Connecticut? Connecticut Orthopaedics is looking for a Insurance Collector for our Wallingford office. Please note that we will not reach out to any candidate that does not have a minimum of 2 years of medical billing experience. Connecticut Orthopaedics (CO) has been serving patients in the greater New Haven area for over 60 years. Our practice has merged with several surrounding orthopaedic groups over the past several years and has become the largest privately-owned orthopaedic practice in New England. Due to our quality of care and attentiveness to our patients, we are proudly the team of orthopaedic physicians for multiple colleges and high schools as well as have our own physical therapy centers. In addition to our orthopaedic service line, we have three MRI suites, (5) acute care orthopaedic walk-in centers and a surgery center in Branford. We employ the best available talent who demonstrate a strong work ethic, value patient-centered care and appreciate that we all have an important role! We have an employee retention history to be proud of. We are appreciative for our dedicated staff of professionals who serve thousands of patients every month. Job Summary: 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