Connecticut Orthopaedics · 19 hours ago
Insurance Collector II - ASC
Wallingford, CT
Full-time
Onsite
Senior Level
5+ years expConnecticut Orthopaedics is a leading physician practice in Orthopaedics in Connecticut, seeking an Insurance Collector II for their Wallingford office. The role involves monitoring accounts for timely payment, resolving claims, and working closely with the billing team to ensure efficient collection processes.
Health CareHealth DiagnosticsMedicalRehabilitation
Responsibilities
Monitor and resolve EDI dashboard for claim kick-out edits
Manage A/R thru system module and reports
Process simple denials, resubmit, appeal and follow-up on unpaid/incorrectly processed claims
Work with Coding department to resolve claim rejections and appeals
Answer incoming insurance specific inquiries
Process basic insurance follow-up on claims
Communicate with insurance carriers for claim status and collect on accounts
Handle any Worker’s Compensation claims, rejections and appeals
Handle more complex insurance denials and appeals
Escalate unresolved claims to Leads or Supervisor timely
Attend coding training/review sessions to share knowledge with team
Assist with training new Level I Insurance Collectors
Identify trends in denials and propose solutions
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
Qualification
Required
Minimum of 2 years of medical billing experience
High School Diploma or GED required
Five plus years of experience with medical insurance collections, worker's compensation surgeries particularly or an equivalent combination of five years' experience and education required
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
Preferred
Associate's Degree or higher
EMR experience with Epic and Amkai
Prior knowledge of CPT/modifiers and ICD-9/ICD-10 codes
Experience with insurance websites such as Availity
CPC certification
Company
Connecticut Orthopaedics
Connecticut Orthopaedics is a healthcare organization that provides imaging, MRI, sports therapy and rehabilitation services.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Susan Bader
Chief Executive Officer
Diane Griffin
Chief Operating Officer
Company data provided by crunchbase