Insurance Collector

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. #J-18808-Ljbffr Women's Health Connecticut