AR Specialist Job at Blue Cross Blue Shield of Massachusetts

Blue Cross Blue Shield of Massachusetts Hingham, MA 02043

Ready to help us transform healthcare? Bring your true colors to blue.

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.

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

Location Hingham Time Type Full time

At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. We provide a flexible hybrid work model in which roles are designated as resident (on site 4-5 days/week), mobile (on site 1-3 days/week), or eworker (on site 0-3 days/month).

Blue Cross Blue Shield of Massachusetts, has a COVID-19 vaccination requirement. Your offer of employment is dependent upon either being fully vaccinated for COVID-19 or an accommodation based on a disability or sincerely held religious belief, practice, or observance by submitting a request to Human Resources.


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