Blue Cross and Blue Shield of Massachusetts Inc.
Provider & Subscriber Receivables Specialist
Blue Cross and Blue Shield of Massachusetts Inc., Hingham, Massachusetts, us, 02043
Provider & Subscriber Receivables SpecialistApply at locations: Hingham
Time type: Full time
Posted on: Posted 2 Days Ago
Job requisition id: R07347
Ready to help us transform healthcare? Bring your true colors to blue.Position Summary:
This position is an opportunity to become directly involved in the daily operations of the Provider & Subscriber Accounts Receivables department within Treasury Operations. This position requires negotiation skills, excellent oral and written ability, and the aptitude to research payment and reimbursement issues in a fast-paced environment.
***This position is eligible in the following personas: eWorker***
Responsibilities:
Independently manage and collect high volume claims ARs from providers and subscribers of approximately $25 million annually, while maintaining positive relationships.
Review and analyze aged trial balance monthly for collection activity; initiate dunning letters and telephone contact with providers and subscribers for past due issues.
Set up and monitor budget arrangements with providers and subscribers.
Address provider and subscriber appeals through research and coordination with internal business partners.
Set up manual ARs as required for claim and non-claim receivables.
Utilize systems to expedite recovery through offset deduction process.
Refer accounts to outside collection agency as appropriate.
Qualifications:
Excellent oral and written communication skills; proven ability to work well under pressure and communicate clearly with internal and external parties and with all levels within the organization.
Negotiation skills
High degree of initiative; team player
High degree of professionalism; ability to effectively interact with all levels of an organization.
Demonstrated ability to independently prioritize and organize a high volume of accounts and varied functions.
Minimum of three years experience in a customer/provider services environment or three years of patient accounting experience in a hospital or professional practice is highly desirable.
Knowledge of claims operations systems (NASCO, Blue Card, ITS) is also desired.
Proficiency in Microsoft Excel and Word applications required; exposure to MS Access databases is desirable.
Education/Relevant Experience:
BA/BS preferred or 3-5 years relevant work experience.
Excellent verbal and communication skills are required.
Note: a writing sample will be required as part of the interview process.
Minimum Education Requirements:High school degree or equivalent required unless otherwise noted above.
LocationHingham
Time TypeFull time
Hourly Range: $29.68 - $36.27
The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.
This job is also eligible for variable pay.
We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.
About UsVoted as the highest in member satisfaction among Massachusetts commercial health plans by JD Power, Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. We have been a market leader for over 75 years and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively serving our 2.8 million members, and consistently offering security, stability, and peace of mind to both our members and associates.
Our Commitment to YouWe are committed to investing in your development and providing the necessary resources to enable your success. We are dedicated to creating a refreshing and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path. We take pride in our diverse, community-centric, wellness-focused culture and believe every member of our team deserves to enjoy a positive work-life balance.
Blue Cross Blue Shield of Massachusetts is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.
#J-18808-Ljbffr
Time type: Full time
Posted on: Posted 2 Days Ago
Job requisition id: R07347
Ready to help us transform healthcare? Bring your true colors to blue.Position Summary:
This position is an opportunity to become directly involved in the daily operations of the Provider & Subscriber Accounts Receivables department within Treasury Operations. This position requires negotiation skills, excellent oral and written ability, and the aptitude to research payment and reimbursement issues in a fast-paced environment.
***This position is eligible in the following personas: eWorker***
Responsibilities:
Independently manage and collect high volume claims ARs from providers and subscribers of approximately $25 million annually, while maintaining positive relationships.
Review and analyze aged trial balance monthly for collection activity; initiate dunning letters and telephone contact with providers and subscribers for past due issues.
Set up and monitor budget arrangements with providers and subscribers.
Address provider and subscriber appeals through research and coordination with internal business partners.
Set up manual ARs as required for claim and non-claim receivables.
Utilize systems to expedite recovery through offset deduction process.
Refer accounts to outside collection agency as appropriate.
Qualifications:
Excellent oral and written communication skills; proven ability to work well under pressure and communicate clearly with internal and external parties and with all levels within the organization.
Negotiation skills
High degree of initiative; team player
High degree of professionalism; ability to effectively interact with all levels of an organization.
Demonstrated ability to independently prioritize and organize a high volume of accounts and varied functions.
Minimum of three years experience in a customer/provider services environment or three years of patient accounting experience in a hospital or professional practice is highly desirable.
Knowledge of claims operations systems (NASCO, Blue Card, ITS) is also desired.
Proficiency in Microsoft Excel and Word applications required; exposure to MS Access databases is desirable.
Education/Relevant Experience:
BA/BS preferred or 3-5 years relevant work experience.
Excellent verbal and communication skills are required.
Note: a writing sample will be required as part of the interview process.
Minimum Education Requirements:High school degree or equivalent required unless otherwise noted above.
LocationHingham
Time TypeFull time
Hourly Range: $29.68 - $36.27
The job posting range is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee’s pay position within the salary range will be based on several factors including, but limited to, relevant education, qualifications, certifications, experience, skills, performance, shift, travel requirements, sales or revenue-based metrics, and business or organizational needs and affordability.
This job is also eligible for variable pay.
We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance, 401(k), and a suite of well-being benefits to eligible employees.
About UsVoted as the highest in member satisfaction among Massachusetts commercial health plans by JD Power, Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. We have been a market leader for over 75 years and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively serving our 2.8 million members, and consistently offering security, stability, and peace of mind to both our members and associates.
Our Commitment to YouWe are committed to investing in your development and providing the necessary resources to enable your success. We are dedicated to creating a refreshing and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path. We take pride in our diverse, community-centric, wellness-focused culture and believe every member of our team deserves to enjoy a positive work-life balance.
Blue Cross Blue Shield of Massachusetts is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.
#J-18808-Ljbffr