Remote Insurance Collector

BCA Financial Services•Columbia, SC

2d•$18 - $23•Remote

About The Position

BCA Financial Services, Inc. is seeking detail-oriented full-time Insurance Claim Collectors with a minimum of 2 years medical insurance billing and claims follow up experience. This remote position involves working with insurance companies to determine the cause of denial or non-payment of a claim, initiating appropriate action to resolve these issues, and following up to the point of payment or exhaustion of recourse. The role requires maintaining records in accordance with company policies and procedures and providing a seamless interface between BCA Financial Services, Inc. and the creditor client.

Requirements

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. This position will not affect coding changes to claims but rather will understand coding requirements and communicate need for amendment of codes to creditor clients
Knowledge of medical terminology and basic anatomy
Effective interpersonal and human relations skills
Effective verbal and written communication skills
Have a quiet and private workspace
High speed internet with the ability to hardwire via 50 ft. ethernet cable from modem to your PC. Must be a sufficient speed to support video/web/audio and voice-over-IP (VoIP) (at least 20mbs download and 10mbs upload). Wi-Fi and hotspots are not supported.
Must meet all the technical requirements prior to the first day of training
Must live in one of the following states: FL, GA, MO, NE, NC, SC, TN, TX, or VA.

Nice To Haves

Keyword Search: Medi-Cal, Cerner, Soarian, MS4, PBAR, insurance collections, accounts receivable, patient accounts, insurance, revenue cycle, patient financial, insurance verification, insurance follow up, medical billing, insurance billing, medical insurance billing, medical insurance claims, insurance claims resolution, insurance collector, claims follow up, revenue cycle specialist, revenue cycle representative

Responsibilities

Work with insurance companies to determine the cause of denial or non-payment of a claim.
Initiate appropriate action required to prepare and submit documentation needed to resolve the denial or non-payment of a claim.
Follow up to the point of payment or exhaustion of recourse and maintain records in accordance with company policies and procedures.
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.