Medical Insurance Collector

Website connecticutorthopaedics Connecticut Orthopaedics

Moving forward together

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 Duties and 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

Minumum Qualifications:

  • 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 code
  • Experience with insurance websites such as Availity and knowledge of MS 365 is a plus
  • Excellent Communication Skills both verbal and written
  • Proficient in Microsoft Office

Job Type: Full-time

Upload your CV/resume or any other relevant file. Max. file size: 25 MB.