Experienced BCBS Insurance Collections Specialist

AIS Healthcare; Miami (FL); Remote; USD 45,000 - 60,000; Full time

Job summary

AIS Healthcare is seeking an Experienced BCBS Insurance Collections Specialist to manage collection processes related to TDD services. The role requires strong judgment, communication skills, and 3-5 years of relevant experience. The position supports a 100% work-from-home model and offers comprehensive benefits.

Benefits

Health Insurance

Vision Insurance

Dental Insurance

Long-term Disability

Life Insurance

Vacation Package

401K Plan with Employer Match

Qualifications

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

Responsibilities

• Follow up on invoices for timely payment.
• Maximize claim reimbursements and resolve denials promptly.
• Ensure compliance with regulatory mandates.

Skills

Problem Solving

Communication

Detail-oriented

Organizational Skills

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.

We are seeking candidates with at least 3 years of medical insurance collection experience.

About AIS Healthcare

AIS Healthcare is a leading provider of Targeted Drug Delivery (TDD) and Infusion Care. Our culture values Innovation, Stewardship, and Unity, with a commitment to advancing quality and improving lives through quality products and services.

Role Overview

The AR Collections Specialist is a full-time position responsible for collection processes related to 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.

Benefits

We offer comprehensive benefits including health, vision, dental insurance, long-term disability, life insurance, a vacation package, and a 401K plan with employer match. We also support a 100% work-from-home model.

Minimum Qualifications

• High school diploma or GED
• 3-5 years of healthcare industry experience
• 3-5 years of 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 and process payments and denials
• Identify and initiate bad debt write-offs and adjustments
• Resolve overpayments and duplicate payments
• Process refunds and maintain communication with departments
• Ensure compliance with regulatory mandates
• Troubleshoot payment discrepancies and document calls
• Maximize claim reimbursements and resolve denials promptly
• Maintain confidentiality and HIPAA compliance
• Maintain knowledge of NDC, infusion supplies, insurance plans, and medical codes
• Share knowledge and work collaboratively
• Perform additional duties as assigned

Qualifications

• Strong judgment and problem-solving skills within legal frameworks
• Excellent communication and relationship-building skills
• Integrity, credibility, and a strong work ethic
• Detail-oriented, organized, and self-motivated
• Proficient in Microsoft Office

Application Process

Applicants must complete a Culture Index Assessment to be considered. Use the link below:

portal.cultureindex.com/public/survey/general/0BFB8F0000

AIS Healthcare is a leading provider of sterile, patient-specific intrathecal pump medications and in-home infusion therapies, committed to delivering superior care outcomes.