Accounts Receivable

Orthoconnecticut; Pine Rock Park (CT); On-site; USD 30,000 - 34,000; Full time

Job summary

OrthoConnecticut in Connecticut is seeking a medical billing and insurance collections specialist. The role focuses on timely submission of claims and follow-up with payers to maximize reimbursement while delivering excellent patient service.

You will work with CPT/ICD-10 coding, verify insurance eligibility, appeal denials, and collaborate with the Coding department to keep accounts current in a busy orthopedic practice. This full-time, non-exempt position offers hourly pay in the $22–$25 range.

Qualifications

• 2–5 years billing and collections experience in a medical office.
• Knowledge of CPT coding and ICD-10.
• Experience with electronic and paper claim submission.
• Knowledge of government, commercial and third-party payer regulations.
• Experience with payer websites for claim and eligibility information.
• Knowledge of insurance verification process for managed care.

Responsibilities

• Timely submission of new and corrected claims.
• Claim follow up on unpaid or underpaid claims.
• Appeal of denied claims.
• Handle patient account inquiries and resolutions.
• Work directly with insurance companies, providers and patients for insurance verifications.
• Work closely with the Coding department.
• Know your assigned Insurances, receive updates from assigned insurances regarding policies and procedures.
• Must have excellent time management skills in order to keep all accounts current.

Skills

Billing and collections

Medical terminology

Education

CPC

Job description

• Base Pay $22.00 - $25.00 / Hour
• Employee Type Non-Exempt - FT

Description

GENERAL STATEMENT OF DUTIES:

Position is primarily responsible medical billing and insurance collections for a large and busy Orthopedic Practice.

RESPONSIBILITIES / WORK REQUIREMENTS:

• Timely submission of new and corrected claims
• Claim follow up on unpaid or underpaid claims
• Appeal of denied claims
• Handle patient account inquires and provide resolutions
• Work directly with insurance companies, providers and patients for insurance verifications
• Work closely with the Coding department
• Know your assigned Insurances, receive updates from assigned insurances regarding policies and procedures. Access carrier websites, and know your way around, know how to appeal, look up policies and procedures, and check claims and eligibility. Keep a record of information needed for others to be able to work your assigned carrier with ease
• Must have excellent time management skills in order to keep all accounts current

REQUIRED EXPERIENCE AND TRAINING:

• 2-5 years billing and collections experience in a medical office
• Knowledge of medical terminology
• Knowledge of CPT coding and ICD 10
• CPC a plus
• Knowledge of government, commercial and third-party payer regulations
• Experience with electronic and paper claim submission
• Experience with payer websites for claim and eligibility information
• Knowledge of insurance verification process for managed care and workers compensation.

OrthoConnecticut, delivering exceptional care and real results has always been our mission, though we did things a little differently when we opened our doors in 1954. Today, we provide orthopedic care in a new state-of-the-art Musculoskeletal Center of Excellence, in which we provide the full spectrum of high-quality services under one roof. Now we can diagnose and treat the complete range of musculoskeletal issues for all ages in one easily accessible location with minimal wait time and a more efficient patient experience. One thing that hasn't changed since in 1954: our commitment to you

OrthoConnecticut is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

The above statement reflects the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements that may be inherent in the job.