Remote Insurance Collector

BCA Financial Services•Richmond, VA

1d•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 creditor customers’ claims to determine why claims were denied or unpaid, prepare and submit documentation to resolve issues, and follow up through payment or exhaustion of recourse. Collectors maintain records in accordance with company policies and procedures and help provide consumers with a seamless interface between BCA and its creditor clients. The position requires at least two years of medical insurance billing and claims follow-up experience in a healthcare revenue cycle environment. The employer provides the equipment needed for the role. Employees must live in Florida, Georgia, Missouri, Nebraska, North Carolina, South Carolina, Tennessee, Texas, or Virginia and 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 healthcare insurance, 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 when filing health insurance claims and the ability to understand coding requirements and communicate when codes need amendment; this 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 workspace at home.
High-speed internet capable of supporting video, web, audio, and VoIP, with at least 20 Mbps download and 10 Mbps upload; Wi-Fi and hotspots are not supported.
Ability to hardwire a PC to the modem using an Ethernet cable up to 50 feet long.
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

Work with insurance companies to determine the cause of claim denials or non-payment.
Prepare and submit documentation and take appropriate action to resolve denied or unpaid claims.
Follow up on claims through payment or exhaustion of recourse, and maintain records according to company policies and procedures.
Receive inbound calls and make outbound calls about insurance matters; document attempts and contacts in the computerized collection system.
Research and analyze accounts by gathering records and reviewing historical data to resolve obstacles to payment.
Verify insurance benefits using methods such as phone calls and insurance websites.
Review assigned claims within established productivity standards, conduct timely follow-up, and keep account information current.
Contact managed care, governmental, and commercial insurance carriers to obtain claim payments.
Identify trends in payer 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 local, state, and federal regulations.
Meet productivity and performance standards consistently.
Comply with HIPAA and other laws and regulations relevant to the collection industry and industries served.