AR Specialist

The Role

This position is an opportunity to become directly involved in the daily operations of the 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 role is eligible eWorker persona.

Responsibilities:

• Independently manage and collect high volume claims ARs from providers 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 for past due issues.

• Set up and monitor budget arrangements with providers.
• Address provider 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 or transfer of funds.
• 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, FEP, 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.

#LI-Remote

Blue Cross Blue Shield of Massachusetts is an Equal Employment Employer - veterans/disability. 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.

Blue Cross Blue Shield of Massachusetts will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Blue Cross Blue Shield of Massachusetts's legal duty to furnish information.

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Number of Openings Available

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.

Note:  No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

WHY Blue Cross Blue Shield of MA?

We understand that the confidence gap and imposter syndrome can  prevent  amazing candidates coming our way, so please don’t hesitate to apply. We’d love to hear from you. You might be just what we need for this role or possibly another one at Blue Cross Blue Shield of MA. The more voices we have represented and amplified in our business, the more we will all thrive, contribute, and be brilliant. We encourage you to bring us your true colors, , your perspectives, and your experiences. It’s in our differences that we will remain relentless in our pursuit to transform healthcare for ALL.

As an employer, we are committed to investing in your development and providing the necessary resources to enable your success. Learn how we are dedicated to creating an inclusive and rewarding workplace that promotes excellence and provides opportunities for employees to forge their unique career path by visiting our Company Culture page. If this sounds like something you’d like to be a part of, we’d love to hear from you. You can also join our Talent Community to stay “in the know” on all things Blue.

At Blue Cross Blue Shield of Massachusetts, we believe in wellness and that work/life balance is a key part of associate wellbeing. For more information on how we work and support that work/life balance visit our "How We Work" Page.