What are the responsibilities and job description for the Insurance Collector position at Connecticut Orthopaedic Specialists Pc?
Connecticut Orthopaedics has been named as the #1 Physician Practice in Orthopaedics in Connecticut.
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.
Location: This is an on-site position located in Wallingford, CT.
Essential 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
Skills and Abilities:
- 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
Experience/Educational requirements:
- High School Diploma or GED required, Associates Degree or higher preferred
- Two years of experience with medical insurance collections. 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.
What we offer:
- Comprehensive medical, dental, and vision insurance
- Competitive salary, 401(k) contributions, and company-paid life insurance.
- Generous PTO and paid holidays to promote work-life balance.
- Access to training and development opportunities and Employee Assistance Program (EAP)
- Uniform allowance