Insurance Collector

Women's Health Connecticut is seeking to hire a full-time, Insurance Collector to join our Corporate Business Office in Rocky Hill, CT!

Position: Insurance Collector
Location: Women's Health Connecticut
Address: 175 Capital Blvd. Rocky Hill, CT 06067
Working Arrangement: Hybrid- two days in-office, three days remote
Employment Type: Full-time, 40 hours per week
Schedule: Monday- Friday, 8:00a- 5:00p

Position Summary: The Insurance Collector will resolve all insurance claims processed incorrectly and/or rejected within specific insurance carriers. Identify trends, billing, and collections concerns and or new product requirements.

Job 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
• 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
• Provide feedback to Manager regarding any account issues
• 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
• 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
• 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

Required Skills/Qualifications

• High School Diploma or GED.
• Knowledge of CPT and ICD.
• 5 years prior experience insurance collections in a medical setting.
• Lab Billing and/or Accounts Receivable's 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.

Physical demands:

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

Qualified candidates are encouraged to apply to learn more about all the position has to offer!

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.

Job Type: Full-time

Pay: $22.00 - $24.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Education:

• High school or equivalent (Required)

Experience:

• CPT coding: 1 year (Required)
• Medical terminology: 1 year (Required)
• Medical Insurance: 5 years (Required)
• Accounts receivable: 1 year (Preferred)

Ability to Relocate:

• Rocky Hill, CT 06067: Relocate before starting work (Required)

Work Location: Hybrid remote in Rocky Hill, CT 06067

Salary : $22 - $24