Remote Insurance Collector

BCA Financial Services•Charlotte, NC

2d•$18 - $23•Remote

About The Position

BCA Financial Services, Inc. is hiring full-time, remote Insurance Claim Collectors to work with insurance companies on behalf of creditor clients. The role investigates reasons for claim denials or non-payment, prepares and submits documentation to resolve issues, and follows claims through payment or until available recourse is exhausted. Collectors maintain account records according to company policies and procedures and help provide consumers with a seamless interface between BCA and its creditor clients. The position involves inbound and outbound insurance-related calls, account research, insurance verification, claim follow-up, and communication with managed care, governmental, and commercial insurance carriers. Employees must meet established productivity and performance standards and follow HIPAA and other applicable laws and regulations. The role is remote and is limited to applicants living in Florida, Georgia, Missouri, Nebraska, North Carolina, South Carolina, Tennessee, Texas, or Virginia. BCA provides the equipment needed for the job; employees must meet the stated home-office and internet requirements before their first day of training.

Requirements

High school diploma or equivalent.
At least 2 years of experience in a healthcare revenue cycle environment, focused on insurance billing and collections.
Advanced knowledge of the healthcare insurance environment, including managed care, governmental and commercial carriers, and reimbursement methodologies such as fee schedules, per diems, and percentage of total charges.
Advanced awareness of codes used in health insurance claims and ability to understand coding requirements and communicate when code amendments are needed; the role does not make coding changes to claims.
Knowledge of medical terminology and basic anatomy.
Effective interpersonal and human relations skills.
Effective verbal and written communication skills.
A quiet, private home workspace.
High-speed internet capable of supporting video, web, audio, and VoIP, with at least 20 Mbps download and 10 Mbps upload.
Ability to hardwire to the modem using an Ethernet cable up to 50 feet; Wi-Fi and hotspots are not supported.
Must meet all technical requirements before the first day of training.
Must reside in Florida, Georgia, Missouri, Nebraska, North Carolina, South Carolina, Tennessee, Texas, or Virginia.

Responsibilities

Receive inbound and make outbound calls regarding insurance matters, documenting all attempts and contacts in the computerized collection system.
Research and analyze accounts using records and historical data to identify and resolve obstacles to payment.
Verify insurance benefits through phone calls, insurance websites, and other available methods.
Review assigned claims, follow up within established productivity standards, and update accounts with current information.
Contact managed care, governmental, and commercial insurance carriers to facilitate claim payment.
Identify payer trends in payment delays and escalate issues to appropriate personnel.
Respond promptly to consumer inquiries and attempt to resolve concerns by clarifying the issues involved.
Use relevant information and judgment to assess compliance with company and client expectations and applicable local, state, and federal regulations.
Consistently meet established productivity and performance standards.
Maintain working knowledge of and comply with HIPAA and other statutes, laws, and regulations relevant to the collection industry and industries served.
Prepare and submit documentation needed to resolve claim denials or non-payment and follow claims through payment or exhaustion of recourse.
Maintain records in accordance with company policies and procedures.