Remote Insurance Collector

BCA Financial Services•Orlando, FL

1d•Remote

About The Position

BCA Financial Services, Inc. is hiring full-time Medical 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 not paid, prepare and submit documentation to resolve claim issues, and follow up until payment is received or available recourse is exhausted. The collector maintains records in accordance with company policies and procedures and helps provide consumers with a seamless interface between BCA and its creditor clients. The position handles insurance-related calls and account research, verifies coverage and benefits, reviews claims for timely follow-up, and contacts managed care, governmental, and commercial insurance carriers to pursue payment. Collectors are expected to meet productivity and performance standards, address consumer inquiries, identify payment-delay trends, and comply with HIPAA and other applicable laws and regulations. This is a remote role open to candidates who live in Florida, Georgia, Missouri, Nebraska, North Carolina, South Carolina, Tennessee, 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 position.

Requirements

High school diploma or equivalent.
At least 2 years of experience in a healthcare revenue cycle environment, with a concentration in 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 when filing health insurance claims, including the ability to understand coding requirements and communicate needed code 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 capable of supporting video, web, audio, and VoIP, with at least 20 Mbps download and 10 Mbps upload; internet must be connected by Ethernet cable, as Wi-Fi and hotspots are not supported.
Must meet all technical requirements before the first day of training.
Must live in Florida, Georgia, Missouri, Nebraska, North Carolina, South Carolina, Tennessee, or Virginia.

Responsibilities

Receive inbound and make outbound calls regarding insurance matters and document all 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 through phone calls, insurance websites, and other available methods.
Review assigned claims and follow up within established productivity standards; keep account information current.
Contact managed care, governmental, and commercial insurance carriers to pursue claim payments.
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.
Use relevant information and judgment to assess compliance 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.