Insurance Collections Specialist I

Connecticut Orthopaedic Specialists Pc; Wallingford (CT); On-site; USD 30,000 - 41,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

Competitive compensation package, 401k

Generous paid time off and holidays

EAP and training opportunities

Job summary

Connecticut Orthopaedics is seeking an Insurance Collector I to monitor accounts, resolve denials, and coordinate with the Billing Team on payment collections. The role requires on-site work in Wallingford, CT, with an 9am-5pm schedule and a starting hourly rate of $22–$30.

You will collaborate with Coding and other departments to improve claim resolution, handle inquiries, and ensure accurate processing in a HIPAA-compliant environment. Prior orthopaedic collections experience is a plus.

Qualifications

• Two years of experience with medical insurance collections.
• EMR experience preferred.
• Orthopaedic collections 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.

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.
• Assist with process improvement to bring about greater claims resolution.
• Ensure the quality, integrity, and proper work effort of assigned tasks.
• Perform other duties as assigned by their supervisor.

Skills

Medical insurance collections

EMR experience

CPT/ICD coding knowledge

Availity portal

MS 365

Insurance follow-up

Education

High School Diploma or GED

Associate's degree or higher preferred

Tools

Availity portal

MS 365

Job description

Connecticut Orthopaedics is seeking an Insurance Collector I to monitor accounts, resolve denials, and coordinate with the Billing Team on payment collections. The role requires on-site work in Wallingford, CT, with an 9am-5pm schedule and a starting hourly rate of $22–$30.

You will collaborate with Coding and other departments to improve claim resolution, handle inquiries, and ensure accurate processing in a HIPAA-compliant environment. Prior orthopaedic collections experience is a plus.