Insurance Collector

Women's Health Connecticut
Rocky Hill, CT (Hybrid)
Full-time
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Women's Health CT, a proud affiliate of Unified Women's Healthcare, is seeking an experienced medical Insurance Collector to join our Central Billing team (CBO).This is a hybrid work arrangement requiring one to two days in the office located in Rocky Hill, CT and the remaining work days remote.

Position: Insurance Collector
Address: 175 Capital Blvd. Rocky Hill, CT 06067 (Hybrid- two day per week in-office)
Employment Status: Full-time (40 hrs per week)
Schedule: Monday- Friday
Reports to: Revenue Cycle Manager

In this position the candidate will resolve all insurance claims processed incorrectly and/or rejected within specific insurance carriers. Additionally, they will identify trends, billing, and collections concerns and new product requirements.

Essential duties and responsibilities:

  • Serves as a representative of Women’s Health USA, 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
  • 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
  • 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
  • Research updates and mailings for insurance company information regarding changes and or new processes
  • Utilizing websites for verification of patient benefit eligibility and claim status
  • Request necessary changes to insurance company guidelines/posting protocols
  • Trend and communicate any insurance issues to management in a timely manner

Other duties and responsibilities:

  • 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/experience:

  • High School Diploma or GED
  • 1-2 years prior experience insurance collections in a medical setting, is required.
  • Previous Accounts Receivables experience, is required.
  • Experience with ICD-10, CPT and HCPCS, is required.
  • Familiar with medical coding, pathology and OB/GYB, is preferred
  • Ability to set priorities
  • Ability to calmly manage stressful situations.
  • Excellent verbal and written communication skills
  • Demonstrate strong computer skills as evidenced by proficiency and/or training with applicable software.

Physical demands:

  • Ability to remain seated for up to 8 hours per day.
  • Ability to work in fast paced environment.

Apply now for Insurance Collector- Corporate- Rocky Hill, CT (Hybrid)

To apply, simply fill out the form below. Please include your name, email address, resume, and any additional comments you wish to include before submitting your application.