Medical-Denial Management Specialist

Established in 1970, Orthopedic Associates of Hartford, P.C., is one of the areas largest orthopedic practices with office locations throughout greater Hartford.

Responsibilities include:

• Following policies and procedures, timely and accurate follow up on claims for the resolution of outstanding balances.
• Participates in the collection and documentation of claims processing rules.
• Generates both electronic and hard copy claims for submission.
• Obtains supporting documentation and other information required to insure acceptance of claim.
• Interacts and communicates effectively with interdepartmental units when necessary.
• Documents account information pertaining to claims submission and resolution.
• Enters demographic data into the billing & collections software.
• Assumes other duties and responsibilities as needed.

PM22 

• Two years recent experience in medical collections and/or medical billing with result oriented debt collections skills.
• Familiarity with ICD-10 coding and Federal HIPAA regulations.
• Computer skills, including Epic, electronic billing, Microsoft Word, Outlook and Excel.
• Excellent written and verbal communication skills with a professional and courteous telephone manner.
• High School diploma.