Job Summary: The Insurance Collector is responsible for monitoring accounts to determine timeliness of payment/collection. Duties for this position involve resolving denials and/or correspondence, providing follow up communication as necessary and re-billing on 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 Orthopedics 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, Associate 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.