BCBS Insurance - Medical AR Collections Specialist (REMOTE)
Job Description
Provides administrative support in the billing and collections function of the medical revenue cycle process. Prepares new charges, completes insurance verification, maintains patient records, and is responsible for collecting on outstanding accounts receivable.
?? Obtain needed and or corrected information by contacting the patient, physician's office, hospital, next of kin, insurance carrier, etc.
?? Verify all patient information uploaded is accurate.
?? Activate and bill patients within the billing system.
?? Maintains the database by entering, updating, and retrieving data, as well as formatting and generating reports.
?? Assists in resolution of outstanding accounts receivable problems from past due accounts.
?? Responds to inquiries from customers or external collection resources.
?? Places calls and sends messages to those with unresolved issues.
?? Understands and maintains all governmental, regulatory and company billing and compliance regulations and policies for payers
?? Follows-up with payers, patients, and other appropriate parties to collect open billings in a timely manner
?? Identifies and reports to management any payer issues with regards to billing and collections
?? Reviews, analyzes, and reconciles initial Accounts Receivable and Order Entry exceptions and discrepancies to provide accurate invoicing and prompt payment
?? Performs other duties as assigned
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] .
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Skills and Requirements
?? 1 - 2 years of related experience (Accounts Receivable experience, medical equipment AR, home health care AR, or collections experience)
?? High school diploma or equivalent required
?? Ability to complete 28 AR Collections claims per day (minimum)
?? Experience working with complex Denials - ex) medical necessity issues, patient does not have coverage, etc
?? Blue Cross Blue Shield Insurance Billing/AR Collections experience - CareVoyant, Waystar, Availity experience
?? Experience with Payer portals
?? Blue Cross Experience working with Claims and Billing - Medical null
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].
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