Experienced BCBS Insurance Collections Specialist

Hirebridge; Town of Texas (WI); Remote; USD 45,000 - 70,000; Full time

Job summary

An established industry player is seeking an experienced Accounts Receivable Collection Specialist to join their dynamic team. This full-time position offers a unique opportunity to manage collection processes for Targeted Drug Delivery services, ensuring compliance with regulatory mandates while maximizing claim reimbursements. The role emphasizes the importance of integrity, excellent communication skills, and a detail-oriented approach. With a 100% remote work model and a comprehensive benefits package, this position is perfect for motivated individuals looking to make a significant impact in a vibrant work culture.

Benefits

Health, Vision, and Dental Insurance

Long-term Disability and Life Insurance

Vacation Package

401K Plan with Employer Match

100% Remote Work Model

Qualifications

• 3-5 years of healthcare industry experience required.
• Strong judgment and problem-solving skills essential.

Responsibilities

• Manage collection processes for TDD services and billing issues.
• Follow up on invoices to ensure timely payment and resolve denials.

Skills

Medical Billing

Collections Management

Problem-Solving

Communication Skills

Microsoft Office

Education

High School Diploma or GED

Job description

Experienced BCBS Insurance Collections Specialist

About AIS Healthcare

AIS Healthcare is a leading provider of Targeted Drug Delivery (TDD) and Infusion Care. Committed to Innovation, Stewardship, and Unity, we focus on Advancing Quality and Improving Lives through quality products and services that enhance the care experience.

Position Overview

We are seeking experienced and motivated Accounts Receivable Collection specialists to join our dynamic team. This full-time role involves managing collection processes for TDD services, including contract analysis, reimbursement, denial management, appeals, and resolving billing issues with insurance companies or responsible parties. Candidates should have comprehensive knowledge of billing and collection practices.

Benefits

• Health, vision, and dental insurance
• Long-term disability and life insurance
• Vacation package
• 401K plan with employer match
• 100% remote work model

Minimum Qualifications

• High school diploma or GED
• 3-5 years of healthcare industry experience
• 3-5 years of medical billing and collections experience
• Experience with Home Infusion and Intrathecal Pain Management preferred

Key Responsibilities

• Ensure patient rights and confidentiality are maintained
• Follow up on invoices to ensure timely payment
• Evaluate payments and denials for correctness
• Manage bad debt write-offs and A/R adjustments
• Investigate overpayments or duplicate payments
• Process refund requests
• Coordinate with departments for necessary information
• Adhere to regulatory mandates and guidelines
• Troubleshoot payment discrepancies and document interactions
• Maximize claim reimbursements
• Resolve denials within 5 days
• Maintain confidentiality per HIPAA regulations
• Maintain knowledge of NDC numbers, infusion supplies, and insurance plans
• Share knowledge with team members and collaborate effectively
• Perform additional duties as assigned

Qualifications

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

Application Process

Complete a Culture Index Assessment to be considered. Applications without this assessment will not be reviewed.

AIS Healthcare specializes in sterile, patient-specific intrathecal pump medications and in-home infusion therapies, supporting physicians and hospitals in delivering superior care.

We seek impact players who are positive, earnest, and hardworking to join our vibrant work culture.