Remote Medical Claims Collector (Mon-Fri)

BCA Financial Services, Inc.; Virginia Beach (VA); Remote; USD 42,000 - 65,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Voluntary life insurance

401k match

Paid time off

Paid holidays

Job summary

BCA Financial Services, Inc. is seeking a remote Insurance Claim Collector to support creditor clients by determining denials and pursuing resolution through documentation and follow-up until payment or recourse is exhausted.

The role requires at least 2 years in healthcare revenue cycle, strong insurance knowledge, and excellent verbal/written communication. A compliant, detail-oriented professional will thrive in this full-time position.

Qualifications

• High school diploma or equivalent.
• Minimum of 2 years working in a healthcare revenue cycle environment with a concentration in the areas of insurance billing and collections.
• Advanced knowledge of the healthcare insurance environment to include managed care, governmental and commercial insurance carriers as well as a myriad of reimbursement methodologies specific to provider contracts (fee schedule, per diems, percentage of total charges, etc.).
• Advanced awareness of the various codes used when filing health insurance claims.
• Knowledge of medical terminology and basic anatomy.
• Effective interpersonal and human relations skills.
• Effective verbal and written communication skills.

Responsibilities

• Receive inbound and make outbound calls regarding insurance related matters and maintain clear and concise documentation of all attempts and/or contacts directly on the computerized collection system.
• Research and analyze accounts by gathering records and examining historical data, using intuition and experience to compliment data with the goal of resolving obstacles to payment.
• Verify insurance through a variety of mediums such as outbound phone calls and insurance websites to verify benefits.
• Review assigned claims working within the established productivity standards for timely follow-up, maintain and update all accounts to reflect current information.
• Perform appropriate account activity by contacting managed care, governmental and commercial insurance carriers to affect payment on claims.
• Identify payor trends in payment delays and escalates issues to appropriate personnel.
• Answer all inquiries from consumers promptly; attempt to resolve consumer concerns by inquiring as to specific issues and clarifying those issues.
• Use relevant information and individual judgment to determine whether events or processes comply with company and client expectations as well as all relevant local, state and federal regulations.
• Maintain established productivity standards and meet performance standards on a consistent basis.
• Demonstrate a strong working knowledge of, and comply with, the Health Insurance Portability and Accountability Act (HIPAA) and all other statutes, laws and regulations pertinent to the collection industry as well as industries served.

Skills

Healthcare billing

HIPAA compliance

Customer service

Verbal communication

Written communication

Education

High school diploma

Job description

BCA Financial Services, Inc. is seeking a remote Insurance Claim Collector to support creditor clients by determining denials and pursuing resolution through documentation and follow-up until payment or recourse is exhausted.

The role requires at least 2 years in healthcare revenue cycle, strong insurance knowledge, and excellent verbal/written communication. A compliant, detail-oriented professional will thrive in this full-time position.