Remote Insurance Collector

BCA Financial Services•Richmond, VA

2d•$18 - $23•Remote

About The Position

BCA Financial Services, Inc. is hiring full-time Insurance Claim Collectors for a remote position. The role works with insurance companies on behalf of creditor clients to determine why claims were denied or unpaid, prepare and submit documentation needed to resolve those issues, follow up through payment or exhaustion of recourse, and maintain records in accordance with company policies and procedures. The position also aims to provide consumers with a seamless interface between BCA and its creditor clients. Collectors handle inbound and outbound insurance-related calls, research accounts and claims, verify insurance benefits, contact managed care, governmental, and commercial insurance carriers, and document activity in the computerized collection system. They monitor claims against productivity standards, identify payment-delay trends and escalate issues, respond to consumer inquiries, and comply with HIPAA and other applicable laws and regulations. This is a remote position available only to applicants living in Florida, Georgia, Missouri, Nebraska, North Carolina, South Carolina, Tennessee, Texas, or Virginia. Employees must have a quiet, private workspace and qualifying wired high-speed internet; Wi-Fi and hotspots are not supported. BCA provides the equipment needed for the role.

Requirements

High school diploma or equivalent.
At least 2 years of experience in a healthcare revenue cycle environment, concentrated in insurance billing and collections.
Advanced knowledge of managed care, governmental, and commercial insurance carriers and reimbursement methodologies such as fee schedules, per diems, and percentages of total charges.
Advanced awareness of health insurance claim codes; ability to understand coding requirements and communicate needed code amendments to creditor clients. 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 and private workspace for working from home.
High-speed internet capable of supporting video, web, audio, and VoIP, with at least 20 Mbps download and 10 Mbps upload; a wired connection using an Ethernet cable up to 50 feet from the modem to the PC is required. Wi-Fi and hotspots are not supported.
Meet all technical requirements before the first day of training.
Live in Florida, Georgia, Missouri, Nebraska, North Carolina, South Carolina, Tennessee, Texas, or Virginia.

Responsibilities

Receive inbound and make outbound calls about insurance-related matters, documenting attempts and contacts in the computerized collection system.
Research and analyze accounts by gathering records and examining historical data to resolve obstacles to payment.
Verify insurance benefits using methods such as outbound calls and insurance websites.
Review assigned claims, follow up on time, and keep accounts updated with current information while meeting established productivity standards.
Contact managed care, governmental, and commercial insurance carriers to affect payment on claims.
Identify trends in payer payment delays and escalate issues to appropriate personnel.
Respond promptly to consumer inquiries and attempt to resolve concerns by clarifying specific issues.
Use relevant information and judgment to assess compliance with company and client expectations and applicable regulations.
Comply with HIPAA and other statutes, laws, and regulations pertinent to the collection industry and industries served.
Determine causes of claim denials or non-payment, prepare and submit documentation to resolve them, and follow up through payment or exhaustion of recourse.
Maintain records in accordance with company policies and procedures.