Remote Insurance Collector

BCA Financial Services•Nashville, TN

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 behalf of creditor clients to determine why claims were denied or unpaid, prepare and submit documentation to resolve those issues, and follow claims through payment or exhaustion of recourse. The position also maintains records according to company policies and procedures and aims to provide consumers with a seamless interface between BCA and its creditor clients. The work 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 account activity, meet productivity and performance standards, respond to consumer inquiries, identify payment-delay trends, and comply with HIPAA and applicable laws and regulations. This is a remote role open only to applicants living 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. The company provides the equipment needed for the role. The schedule is Monday through Friday, and the listed pay 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, concentrated in insurance billing and collections.
Advanced knowledge of healthcare insurance, including managed care, governmental, and commercial insurance carriers and reimbursement methodologies such as fee schedules, per diems, and percentages of total charges.
Advanced awareness of codes used when filing health insurance claims; the role must understand coding requirements and communicate when creditor clients need to amend codes, but does not make coding changes itself.
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 that can be hardwired to the PC using a 50-foot Ethernet cable; minimum speeds of 20 Mbps download and 10 Mbps upload, sufficient for video, web, audio, and VoIP. 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 calls and make outbound calls about insurance matters; document attempts and contacts clearly in the computerized collection system.
Research and analyze accounts by gathering records and reviewing historical data to identify and resolve obstacles to payment.
Verify insurance benefits using methods such as outbound 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 facilitate claim payment.
Identify trends in payment delays and escalate issues to appropriate personnel.
Respond promptly to consumer inquiries and attempt to resolve concerns by identifying and clarifying specific issues.
Use relevant information and judgment to determine whether events and processes meet company and client expectations and comply with applicable regulations.
Maintain productivity and performance standards consistently.
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.