Experienced BCBS Insurance Collections Specialist

AIS Healthcare; Cincinnati (OH); Remote; USD 40,000 - 60,000; Full time

Job summary

AIS Healthcare is seeking an Experienced BCBS Insurance Collections Specialist to join their team. This full-time remote role focuses on collection processes, including contract analysis, denial management, and billing issue resolution. Candidates should have relevant healthcare experience and strong communication skills. AIS Healthcare offers comprehensive benefits and fosters a positive work culture.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

Disability Insurance

Life Insurance

Vacation Package

401K with Employer Match

Qualifications

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

Responsibilities

• Support patient rights and confidentiality.
• Follow up on invoices for timely payment.
• Maximize claim reimbursements.

Skills

Communication

Integrity

Organization

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 Accounts Receivable Collection experts for a full-time role focusing on collection processes for TDD services, including contract analysis, reimbursement, denial management, appeals, and billing issue resolution with insurance companies or responsible parties. The ideal candidate should have in-depth knowledge of billing and collection practices.

AIS Healthcare offers comprehensive benefits, including health, vision, dental, disability, life insurance, a vacation package, and a 401K with employer match. We operate on a 100% work-from-home model.

Qualifications

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

Key Responsibilities

• Support patient rights and confidentiality
• Follow up on invoices for timely payment
• Evaluate payments and denials, ensuring correct application
• Identify and process bad debt write-offs and adjustments
• Investigate overpayments and duplicate payments
• Process refunds per policies
• Collaborate with departments for claim information
• Ensure compliance with regulatory procedures
• Troubleshoot payment discrepancies and document interactions
• Maximize claim reimbursements
• Resolve denials within 5 days
• Maintain HIPAA confidentiality
• Maintain knowledge of NDC numbers, infusion supplies, and insurance plans
• Share knowledge with team and collaborate positively
• Perform other duties as assigned

Minimum Requirements

• Good judgment in complex situations
• Excellent communication and relationship skills
• Integrity and credibility
• Organized, detail-oriented, self-motivated
• Proficient in Microsoft Office

Application Steps

Complete the Culture Index Assessment to be considered. Use the link: portal.cultureindex.com/public/survey/general/0BFB8F0000. Only one assessment per candidate is required.

We are a leading provider of sterile, patient-specific intrathecal pump medications and in-home infusion therapies, committed to delivering superior patient care and fostering a positive work culture.