Experienced BCBS Insurance Collections Specialist

Hirebridge; Denver (CO); Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player in healthcare is seeking an experienced BCBS Insurance Collections Specialist to join their dynamic team. This full-time role involves managing collection processes for targeted drug delivery services, including contract analysis, denial management, and resolving billing issues with insurance companies. The ideal candidate will have a strong background in medical billing and collections, excellent communication skills, and a detail-oriented approach. Enjoy the benefits of a 100% work-from-home model while contributing to a mission-driven organization dedicated to improving patient care.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

Long-term Disability Insurance

Life Insurance

401K Plan with Employer Match

Vacation Package

Qualifications

• 3-5 years of medical billing and collections experience required.
• Good judgment in complex situations, in accordance with laws and regulations.

Responsibilities

• Follow up on invoices to ensure prompt payment and escalate issues as needed.
• Evaluate payments and denials for correctness and ensure proper application.
• Document all interactions thoroughly.

Skills

Medical Insurance Collection

Communication Skills

Problem Solving

Attention to Detail

Microsoft Office

Education

High School Diploma or GED

3-5 Years Healthcare Experience

3-5 Years Medical Billing Experience

Tools

Microsoft Office

Job description

Experienced BCBS Insurance Collections Specialist

Please have 3 years of medical insurance collection experience to apply.

AIS Healthcare is the leading provider of Targeted Drug Delivery (TDD) and Infusion Care. With our diverse culture and our values around Innovation, Stewardship, and Unity, we are committed to advancing quality and improving lives. We are dedicated to doing more for our patients by providing quality products and services that enhance the entire care experience.

AIS Healthcare is looking for experienced and motivated Accounts Receivable Collection experts to join our dynamic team! The AR Collection role is a full-time position responsible for collection processes for TDD services, including contract analysis, reimbursement, denial management, appeals, and resolving billing-related issues with insurance companies or other responsible parties for services rendered. The ideal candidate should have in-depth knowledge of collection practices related to billing and collection activities.

AIS Healthcare offers great benefits, including health, vision, and dental insurance, long-term disability insurance, life insurance, a vacation package, and a 401K plan with a generous employer match. Additionally, we offer a 100% work-from-home model.

Education and Experience:

• A high school diploma or GED equivalent is required.
• 3-5 years of healthcare industry experience required.
• 3-5 years of medical billing and collections experience required.
• Home Infusion and Intrathecal Pain Management experience preferred.

Essential Duties and Responsibilities:

• Recognize patients’ rights and responsibilities and support them in job duties, respecting their privacy and confidentiality.
• Follow up on invoices to ensure prompt payment and escalate issues as needed.
• Evaluate payments and denials for correctness and ensure proper application.
• Identify bad debt write-offs and A/R adjustments, initiating them per policies.
• Identify overpayments or duplicate payments, investigate, and resolve.
• Process refund requests according to policies.
• Maintain communication with other departments for necessary patient or insurance information.
• Understand all procedures within regulatory mandates.
• Ensure collection activities comply with department protocols and regulations.
• Make calls to troubleshoot payment discrepancies and establish resolution.
• Document all interactions thoroughly.
• Look for ways to maximize claim reimbursement.
• Resolve denial issues within 5 days of receipt.
• Maintain confidentiality and adhere to HIPAA guidelines.
• Understand NDC numbers, quantities, and infusion supplies.
• Maintain broad knowledge of insurance plans, medical terminology, billing procedures, and codes.
• Share knowledge with team members and collaborate effectively.
• Interact positively and respectfully with others.
• Perform other duties as assigned.

Qualifications:

• Good judgment in complex situations, in accordance with laws and regulations.
• Excellent communication and relationship-building skills.
• Strong work ethic, integrity, and credibility.
• Self-directed, detail-oriented, organized, and reliable.
• Ability to handle multiple variables and problems systematically.
• Tolerant of interruptions and distractions.
• Proficient in Microsoft Office (Outlook, Word, Excel).

Steps to Apply:

Complete a Culture Index Assessment to be considered. Please note that applications without the assessment will not be reviewed.

AIS Healthcare is a leader in advanced sterile, patient-specific intrathecal pump medications and in-home IV infusion, including immune globulin therapies, supporting physicians and hospitals for optimal outcomes.

We seek a positive, earnest, and hardworking impact player to join our team.