Remote Insurance Collector

BCA Financial Services•Columbia, SC

1d•Remote

About The Position

BCA Financial Services, Inc. is hiring full-time, remote Insurance Claim Collectors to work with insurance companies on creditor customers’ claims. The role involves identifying why claims were denied or unpaid, preparing and submitting documentation to resolve issues, following up until payment or exhaustion of recourse, and maintaining records in accordance with company policies and procedures. Collectors are expected to provide a seamless interface for consumers between BCA and its creditor clients. The position includes inbound and outbound calls, account research and analysis, insurance verification, claim follow-up, and communication with managed care, governmental, and commercial insurance carriers. Collectors must document activity, address consumer inquiries and concerns, identify payment-delay trends, and meet productivity and performance standards. They must comply with HIPAA and other applicable laws, regulations, and company and client expectations. This is a remote role available only to applicants living in Florida, Georgia, Missouri, Nebraska, North Carolina, South Carolina, Tennessee, or Virginia. Employees must have a quiet, private workspace and high-speed wired internet meeting the stated speed requirements; Wi-Fi and hotspots are not supported. The company provides the equipment needed for the role. The schedule is Monday through Friday. Compensation is $18.00–$23.00 per hour.

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 managed care, governmental, and commercial insurance carriers and reimbursement methodologies, including fee schedules, per diems, and percentages of total charges.
Advanced awareness of codes used when filing health insurance claims; the role does not change claim codes but must recognize coding requirements and communicate needed amendments to creditor clients.
Knowledge of medical terminology and basic anatomy.
Effective interpersonal and human relations skills.
Effective verbal and written communication skills.
A quiet and private home workspace.
High-speed internet with a wired connection from modem to PC, at least 20 Mbps download and 10 Mbps upload, sufficient for video, web, audio, and VoIP; Wi-Fi and hotspots are not supported.
Must meet technical requirements before the first day of training.
Must live in Florida, Georgia, Missouri, Nebraska, North Carolina, South Carolina, Tennessee, or Virginia.

Responsibilities

Work with insurance companies to determine the cause of claim denials or non-payment.
Prepare and submit documentation needed to resolve claim denials or non-payment.
Follow up on claims through payment or exhaustion of recourse, and maintain records in accordance with company policies and procedures.
Receive inbound and make outbound calls regarding insurance matters, documenting attempts and contacts in the computerized collection system.
Research and analyze accounts using records and historical data to resolve obstacles to payment.
Verify insurance benefits using methods such as outbound calls and insurance websites.
Review assigned claims within established productivity standards, follow up promptly, and update accounts with current information.
Contact managed care, governmental, and commercial insurance carriers to affect payment on claims.
Identify trends in payment delays and escalate issues to appropriate personnel.
Respond promptly to consumer inquiries and attempt to resolve concerns by clarifying the specific issues.
Use relevant information and judgment to assess whether events and processes comply with company and client expectations and applicable regulations.
Meet established productivity and performance standards consistently.
Comply with HIPAA and other statutes, laws, and regulations relevant to the collection industry and industries served.