What are the responsibilities and job description for the Insurance Collector position at Connecticut Orthopaedic Specialists Pc?
Connecticut Orthopaedics is looking for an 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.
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
- 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
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:
- 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. 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.
- LICENSURE: No License or certification is required.