Insurance Collector

Connecticut Orthopaedic Specialists PcWallingford, CT
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
  • High School Diploma or GED required
  • One year of experience with medical insurance collections which includes working denials and workers compensation.
  • Prior knowledge of CPT/modifiers and ICD-9/ICD-10 codes.

Nice To Haves

  • Associates Degree or higher preferred
  • EMR experience 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
  • 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

Benefits

  • Comprehensive medical, dental, and vision insurance
  • Competitive salary
  • 401(k) contributions
  • Company-paid life insurance.
  • Generous PTO
  • Paid holidays
  • Access to training and development opportunities
  • Employee Assistance Program (EAP)
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