Insurance Collector 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

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Insurance Collector I

Full Time Clerical Wallingford, CT, US

2 days ago Requisition ID: 1324

For the second year in a row, Connecticut Orthopaedics has been named the #1 Orthopaedic Physician Practice in Connecticut by Castle Connolly!

Job Summary:

The Insurance Collector Iis responsible for monitoring accounts to determine the timeliness of payment/collection. Duties for this position involve resolving denials and/or correspondence, providing follow-up communication as necessary, and re-billing outstanding accounts. This position closely works with the CO Billing Team and Collections Supervisor.

• 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 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

Education & Experience Requirements:

• High School Diploma or GED required, Associate's degree or higher preferred
• Two years of experience with medical insurance collections.
• EMR experience preferred.
• Orthopaedic collections experience is 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.

Location & Schedule

• Wallingford, CT. This is an on-site position
• Monday-Friday 9am-5pm
• Starting hourly rate range: $22-$30
• Eligible for productivity incentive bonus

What we offer:

• Medical, dental, and vision insurance
• Competitive compensation package, 401(k) contributions, and company-paid life insurance.
• Generous paid time off and paid holidays to support a healthy work-life balance.
• Access to training and development opportunities and Employee Assistance Program (EAP)

Connecticut Orthopaedics (CO) has been serving patients in the greater New Haven area for over 60 years. Our practice has merged with several surrounding orthopaedic groups over the past several years and has become the largest privately-owned orthopaedic practice in New England. Due to our quality of care and attentiveness to our patients, we are proudly the team of orthopaedic physicians for multiple colleges and high schools as well as have our own physical therapy centers. In addition to our orthopaedic service line, we have three MRI suites, (5) acute care orthopaedic walk-in centers and a surgery center in Branford.

The posted pay range and actual compensation offered are based on a variety of factors, including experience, education, certifications, skills, geographic location, market data, internal equity, and organizational needs. The posted range does not reflect the full value of CT Orthopaedics total rewards package, which may include Health & Wellness benefits, 401k contribution including profit-sharing regardless of employee’s contribution, and other available compensation for eligible employees.