Insurance Collector

Women's Health Connecticut; Rocky Hill (CT); Hybrid; USD 48,000 - 60,000; Full time

Job summary

Women’s Health Connecticut is seeking a Full-time Insurance Collector to join our Revenue Cycle team. Hybrid schedule: 2-3 days onsite, 40 hours weekly, Monday through Friday, 8:00am–5:00pm.

You will resolve insurance claims processed incorrectly or rejected, and identify billing trends. You will follow carrier guidelines, contact payers, monitor claim status, maintain PHI confidentiality, and support process improvements.

Qualifications

• High School Diploma or GED required.
• Knowledge of CPT and ICD10 specific to laboratory billing.
• 5 years prior experience in insurance collections in a medical setting.
• Ability to set priorities.
• Ability to calmly manage stressful situations.
• Excellent verbal and written communication skills.
• Demonstrate strong computer skills in Excel/Outlook/OneNote/Word.

Responsibilities

• Serves as a representative of Women’s Health Connecticut with courtesy and discretion.
• Review reports to determine errors causing denials and resubmit according to carrier guidelines.
• Contact insurance companies promptly to determine non-payment reasons and appeal denials.
• Follow up with payers to facilitate cash flow.
• Communicate requests from divisions, insurance companies, and staff.
• Research insurance updates regarding changes in lab coverage/processing.
• Verify patient benefits and claim status via payer websites.
• Suggest changes to insurance guidelines and posting protocols as needed.
• Report insurance issues to management in a timely manner.
• Provide feedback to Manager on account issues.
• Adhere to internal communications protocols and contribute to team goals.
• Maintain PHI confidentiality per HIPAA and company policy.
• Other duties as assigned by management.

Skills

High School Diploma

CPT ICD10 knowledge

5 years insurance collections

Prioritization

Stress management

Communication skills

Microsoft Office

Fast-paced environment

PHI confidentiality

Education

High School Diploma or GED

Tools

Excel

Outlook

OneNote

Word

Job description

Women’s Health Connecticut is seeking to hire a Full-time, Insurance Collector!

Position

Insurance Collector

Location

Women’s Health Connecticut

Employment Type

Full-time, 40 hours per week

Working arrangement

Hybrid, 2-3 days onsite/in-office

Schedule

Monday- Friday, 8:00am- 5:00pm

Reports to

Director of Revenue Cycle Management

Position Summary

Resolve all insurance claims processed incorrectly and/or rejected within specific insurance carriers. Identify trends, billing, and collections concerns and or new product requirements.

Essential duties and responsibilities

• Serves as a representative of Women’s Health Connecticut, displaying courtesy, tact, consideration, and discretion in all interactions with other members of the Women’s Health Communities, and the public.
• Review internal reports and system worklists to determine errors causing denial of claims/correct/resubmit claims based upon appropriate carrier guidelines.
• Utilizing follow up reports, and/or system tools, must contact appropriate insurance company in a timely manner to determine reason for non-payment of claims and claim appeals.
• Follow up with payers to facilitate uninterrupted cash flow.
• Respond in a timely manner by either telephone and or written communication to all requests from divisions, insurance companies and other members of the Women’s Health Communities
• Research updates and mailings for insurance company information regarding changes and or new processes for lab coverage/processing.
• Utilizing websites for verification of patient benefit eligibility and claim status.
• Request necessary changes to insurance company guidelines/posting protocols for internal systems (I.E., Athena rules, RCx rules).
• Trend and communicate any insurance issues to management in a timely manner.
• Provide feedback to Manager regarding any account issues.
• Follow internal protocols regarding departmental communications.
• Participate in initiative-taking team efforts to achieve departmental and company goals.
• Adhere to corporate compliance program guidelines and comply with all safety policies, practices, and procedures within the Women’s Health Communities.
• Maintain and respect the confidentiality of PHI (Protected Health Information) in accordance with insurance collection guidelines, corporate policy, and all HIPAA (Health Insurance Portability and Accountability Act) mandates
• Candidate will have access to PHI based on the HIPAA minimum necessary standards.
• Other duties as assigned by management.

Skills/qualifications

• High School Diploma or GED
• Knowledge of CPT and ICD10 specific to laboratory billing.
• 5 years prior experience insurance collections in a medical setting, lab billing/AR experience is a plus.
• Ability to set priorities
• Ability to calmly manage stressful situations.
• Excellent verbal and written communication skills
• Demonstrate strong computer skills (Excel/Outlook/One Note/Word, etc.) as evidenced by proficiency and/or training with applicable software
• Ability to work in a fast paced environment
• Ability to remain seated for up to 8 hours.

The Job responsibilities provided are intended to be a summary of the job duties. In no instance should the duties, responsibilities, and requirements included in a job description constitute as being all-inclusive. The Company and authorized management personnel reserve the right to review, change, add and/or delete duties, responsibilities, and requirements on a job description as necessary.