Experienced BCBS Insurance Collections Specialist

AIS Healthcare; Birmingham (AL); Remote; USD 45,000 - 60,000; Full time

Job summary

AIS Healthcare is seeking an Experienced BCBS Insurance Collections Specialist to manage collection processes for Targeted Drug Delivery services. This full-time remote role requires expertise in medical billing and collections, with a focus on compliance and effective communication.

Benefits

Health insurance

Vision insurance

Dental insurance

Long-term disability

Life insurance

Vacation package

401K plan with employer match

100% remote work model

Qualifications

• 3-5 years of healthcare industry experience.
• Experience in medical billing and collections.

Responsibilities

• Follow up on invoices to ensure timely payment.
• Evaluate payments and denials for correctness.
• Maximize claim reimbursement.

Skills

Good judgment

Problem-solving

Communication

Relationship-building

Integrity

Credibility

Organization

Detail-oriented

Self-directed

Education

High school diploma or GED

Tools

Microsoft Office

Job description

Experienced BCBS Insurance Collections Specialist

Join us as an Experienced BCBS Insurance Collections Specialist at AIS Healthcare.

We are seeking motivated professionals with at least 3 years of medical insurance collection experience to join our team. AIS Healthcare specializes in Targeted Drug Delivery (TDD) and Infusion Care, committed to advancing quality and improving lives through innovative healthcare solutions.

This full-time role involves managing collection processes for TDD services, including contract analysis, reimbursement, denial management, and billing issue resolution. Candidates should possess in-depth knowledge of billing and collection practices.

Our benefits include health, vision, dental insurance, long-term disability, life insurance, a vacation package, a 401K plan with employer match, and a 100% remote work model.

Qualifications

• High school diploma or GED required
• 3-5 years of healthcare industry experience
• Experience in medical billing and collections
• Preferred: Home Infusion, Intrathecal Pain Management experience

Responsibilities

• Follow up on invoices to ensure timely payment
• Evaluate payments and denials for correctness
• Identify and process bad debt write-offs and adjustments
• Investigate overpayments and duplicate payments
• Process refund requests
• Coordinate with departments for claim payment information
• Ensure compliance with regulatory mandates
• Troubleshoot payment discrepancies and document calls
• Maximize claim reimbursement
• Resolve denials within 5 days
• Maintain confidentiality and HIPAA compliance
• Understand NDC numbers, infusion supplies, and insurance plans
• Share knowledge and work collaboratively

Qualifications

• Good judgment and problem-solving skills
• Excellent communication and relationship-building skills
• Integrity and credibility
• Organized, detail-oriented, self-directed
• Proficient in Microsoft Office

Application Steps

Complete a Culture Index Assessment via this link. Your application will not be considered without the assessment.

AIS Healthcare offers a supportive work environment focused on impactful, positive, and hardworking individuals.