Experienced BCBS Insurance Collections Specialist

AIS Healthcare; Fort Lauderdale (FL); Remote; USD 45,000 - 55,000; Full time

Job summary

AIS Healthcare is seeking an Experienced BCBS Insurance Collections Specialist to manage collection processes for TDD services. This full-time role requires expertise in medical billing and collections, with a strong focus on compliance and customer service. The position is fully remote and offers comprehensive benefits, including health and 401K plans.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

Long-term Disability Insurance

Life Insurance

Vacation Package

401K Plan with Employer Match

Qualifications

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

Responsibilities

• Follow up on invoices to ensure prompt payment.
• Evaluate payments and denials for correctness.
• Ensure collection activities comply with regulations.

Skills

Communication

Relationship Building

Detail-Oriented

Self-Directed

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Experienced BCBS Insurance Collections Specialist

Join to apply for the Experienced BCBS Insurance Collections Specialist role at AIS Healthcare

2 days ago Be among the first 25 applicants

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 privacy and confidentiality.
• Follow up on invoices to ensure prompt payment and escalate issues as necessary.
• 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 contact with departments for necessary patient or insurance information.
• Understand procedures within regulatory mandates.
• Ensure collection activities comply with federal, state, and payer regulations.
• Troubleshoot payment discrepancies via calls and establish resolutions.
• Document call details thoroughly and consistently.
• Seek areas to maximize claim reimbursement.
• Resolve denial issues within 5 days of receipt.
• Maintain confidentiality and adhere to HIPAA regulations.
• Maintain knowledge of NDC numbers, infusion supplies, and medical codes.
• Share knowledge with team members and work collaboratively.
• Interact positively and respectfully with others.
• Perform other related duties as assigned.

Qualifications

• Good judgment in complex situations, adhering to laws and regulations.
• Excellent communication and relationship-building skills.
• Strong work ethic, integrity, and credibility.
• Self-directed, detail-oriented, organized, and proactive.
• Ability to handle multiple variables and tolerate interruptions.
• Proficient in Microsoft Office (Outlook, Word, Excel).

Steps to Apply

Complete a Culture Index Assessment to be considered. Your application will not be reviewed without it. Copy and paste the following link into your browser and select the position: portal.cultureindex.com/public/survey/general/0BFB8F0000. The assessment takes less than ten minutes.

AIS Healthcare specializes in advanced sterile, patient-specific intrathecal pump medications and in-home intravenous infusion, including immune globulin therapies, supporting physicians and hospitals in delivering superior care. We value a positive, earnest, and hardworking impact player.