Healthcare Claims Specialist (Home Based)

Do you pride yourself on being an analytical problem solver?
Are you looking for a role that fosters growth as well as a work-life balance?
If you’re self-motivated, disciplined and resourceful, then a HBCS Healthcare Claims Specialist may be the role for you. As a Virtual Healthcare Claims Specialist , you will provide superior customer service and accounts receivables management services in partnership with hospitals throughout the country, all while working remotely from the convenience of your home office. Enhance your career in the growing healthcare industry by applying today and joining our team!

What you’ll be doing:
This position is a work-from-home, remote position where you will use your knowledge of the claims process by analyzing and applying payor contract terms and conditions in- order- to ensure that all elements of the account are accurate, and payment is processed accordingly.
Here’s how:

• Identify and report trends in carrier payments and denials
• Follow–up with payors and other third parties for ensuring timely claims submission
• Resolve accounts including secondary billing, appeals process, and patient liability

Who we’re looking for:
The best fit for this job is someone who:

• Has working knowledge of the insurance follow-up process
• Is proficient in comprehending and applying payor contract conditions and reimbursement methodology
• Has basic knowledge of healthcare claims processing including: ICD-10, CPT, and HCPC codes, as well as UB-04 and 1500 claims forms
• Has 1 to 2 years of patient accounts receivable and/or insurance claims processing experience - Medicare experience a plus.
• Has the ability to analyze and resolve problems, as well as the ability to identify payor reimbursement discrepancies
• Has the ability to update multiple systems while interacting with third parties
• Has demonstrated the ability to self-manage in a remote work environment
• Has excellent verbal skills with an emphasis on customer service
• Has excellent computer and multitasking skills
• Has a minimum of a high school diploma or equivalent. Additional education toward a degree is a plus.

What HBCS* will provide you: *

• Systems equipment needed.
• Systems and process training.

At-Home Resources you’ll need which meet the following requirements:

• Reliable and secure internet connection (this will be tested prior to start date)
• Dedicated quiet and private workspace
• Non-Satellite based Internet Service Provider

Even better if you have:

• Experience solving problems in a work-from-home environment

Why you’ll want to join the HBCS* team: *

• Monthly Performance based Incentives
• Competitive Pay
• Medical, Dental, Vision and Life Insurance
• 401(k) with Substantial Company Match
• Tuition Reimbursement
• Generous Paid Time Off and Paid Company Holidays
• Ability to work from home

What you will learn:
At HBCS, the opportunity for advancement is outstanding! We invest in our team members through training and development to help them reach their career goal and their full potential in the fastest growing career industry – Healthcare!
At HBCS,

• We provide on-going interactive training to help you learn and excel at your job.
• We encourage professional growth through HBCS’ companywide training and development program.
• We provide constant coaching and feedback to help you develop your skills.
• We offer opportunities to advance in your career and become a team lead, trainer or supervisor.

Required Skills

Required Experience*
Who we are: *

HBCS is a leader in healthcare receivables management, providing electronic billing, insurance follow-up and self-pay recovery services to hospitals and healthcare providers throughout the United States. Our success story is a product of our high-quality staff, and their continuous commitment to demonstrating exceptional customer service while utilizing state-of-the art technology systems. With operating locations in Delaware and Massachusetts, our skilled and dedicated team delivers quality, value-added services to ensure that the goodwill established between our client hospitals and their patients remains steadfast

HBCS* is an Equal Opportunity Employer*

Job Type: Full-time