Remote Insurance Collector

BCA Financial Services•Nashville, TN

2d•$18 - $23•Remote

About The Position

BCA Financial Services, Inc. is hiring a full-time, remote Insurance Claim Collector to work with insurance companies on behalf of creditor clients. The role investigates the reasons for claim denials or non-payment, prepares and submits documentation needed to resolve them, and follows claims through payment or exhaustion of recourse. The collector maintains records according to company policies and procedures and helps provide consumers with a seamless interface 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. The collector must meet productivity and performance standards, identify trends in payment delays, escalate issues appropriately, respond to consumer inquiries, and comply with HIPAA and other applicable laws and regulations. This is a remote role for applicants living in Florida, Georgia, Missouri, Nebraska, North Carolina, South Carolina, Tennessee, or Virginia. Employees must have a quiet, private workspace and qualifying high-speed wired internet; Wi-Fi and hotspots are not supported. BCA provides the equipment needed for the role, and technical requirements must be met before the 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 managed care, governmental, and commercial insurance carriers and reimbursement methodologies, including fee schedules, per diems, and percentage-of-total-charges arrangements.
Advanced awareness of codes used in health insurance claims and the ability to understand coding requirements and communicate when code amendments are needed; this role does not make coding changes.
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; connection must be hardwired via an Ethernet cable from the modem to the PC. 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, documenting 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, meet established productivity standards for timely follow-up, and keep account information current.
Contact managed care, governmental, and commercial insurance carriers to secure payment on claims.
Identify payer trends in 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 whether events and processes comply with company and client expectations and applicable regulations.
Maintain established productivity and performance standards.
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.