Insurance Collector in Wallingford, Connecticut at Connecticut Orthopaedic Specialists Pc

Connecticut Orthopaedics has been named as the

#1 Physician Practice in Orthopaedics in Connecticut.

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.

Schedule: Monday-Friday 9am-5pm

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
• One year of experience with medical insurance collections which includes working denials and workers compensation. 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)