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1-800Accountant

Remote Sales Consultant

Remote Sales Consultant 1-800Accountant is the nation's largest virtual accounting services firm ... Various medical, dental, vision, and disability insurance options through Anthem BCBS, as well as ...

TeleMate Health

A supportive and collaborative remote work environment ... Medical, dental, and vision coverage available through BCBS. * We cover 50% of the employee ...

Gaggle

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Some benefits highlights: * We're a remote-first company; our team works together across all 50 US states * PPO and HDHP health insurance plans through BCBS of Illinois; coverage includes treatment ...

TeleMate Health

Certified Medical Assistant

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$17 - $22/hr

A supportive and collaborative remote work environment. * Medical, dental, and vision coverage available through BCBS. We cover 50% of the employee's medical insurance premium. * Coverage for ...

TeleMate Health

Transition Specialist

TN · Remote

A supportive and collaborative remote work environment. * Medical, dental, and vision coverage available through BCBS. We cover 50% of the employee's medical insurance premium. * Coverage for ...

IVX Health

Insurance Follow-Up Specialist

$22 - $25/hr

Remote (U.S.) | Full-Time | Monday-Friday | Standard Business Hours Hybrid Optional if Local ... Proven success in collections with Blue Cross payers, including BCBS FL, Independence BC, and BCBS ...

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How much do remote bcbs jobs pay per hour?

As of Aug 4, 2026, the average hourly pay for remote bcbs in the United States is $19.35, according to ZipRecruiter salary data. Most workers in this role earn between $16.92 and $21.73 per hour, depending on experience, location, and employer.

What does a Remote BCBS do?

In a Remote BCBS position, your day-to-day tasks usually include reviewing and processing insurance claims, responding to provider and member inquiries, and ensuring compliance with BCBS policies and healthcare regulations. You may also be responsible for resolving discrepancies, authorizing benefits, and documenting all actions in company systems. Most of your work is conducted independently, but you’ll frequently collaborate virtually with team members, supervisors, and other departments. This combination of individual focus and teamwork supports timely, accurate claims resolution and great member service.

What skills and qualifications are needed for a Remote BCBS?

To thrive as a Remote BCBS (Blue Cross Blue Shield) representative or claims analyst, you typically need a background in healthcare administration, insurance or medical billing, and a thorough understanding of BCBS policies and procedures. Familiarity with claims processing software, HIPAA regulations, and customer service platforms like Salesforce or Facets is commonly required, and certification in medical coding (e.g., CPC or CCS) can be a plus. Strong attention to detail, clear communication skills, and the ability to work independently are crucial soft skills for remote success. These competencies ensure accurate claims processing, regulatory compliance, and efficient issue resolution while working remotely.

What is a Remote BCBS?

A Remote BCBS job typically involves working for Blue Cross Blue Shield (BCBS) or a related healthcare organization in a remote capacity. These roles can include customer service, claims processing, medical coding, nursing, or IT support. Employees perform their duties from home while assisting members, providers, or internal teams. Strong communication skills, healthcare knowledge, and computer proficiency are often required.

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Remote Bcbs jobs near you
Infographic showing various Remote Bcbs job openings in the United States as of July 2026, with employment types broken down into 5% Locum Tenens, 10% Internship, 3% As Needed, 77% Full Time, 4% Part Time, and 1% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $40,250 per year, or $19.4 per hour.

Healthcare Collections Specialist - BCBS Accounts

AIS Healthcare

Remote

$18.25 - $22.75/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

AIS Healthcare rating

9.5

Company rating: 9.5 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Healthcare Collections Specialist - BCBS Accounts
Join AIS Healthcare

AIS Healthcare is the leading provider of Targeted Drug Delivery (TDD) and Infusion Care solutions. Guided by our core values of Innovation, Stewardship, and Unity, we are committed to Advancing Quality and Improving Lives for the patients, providers, and communities we serve.

As a national leader in specialty pharmacy and infusion services, AIS Healthcare partners with providers and healthcare organizations to deliver exceptional patient outcomes through innovative therapies, nursing support, and care coordination services.

We're seeking an experienced Healthcare Collections Specialist to join our Financial Services team. This role is ideal for a healthcare collections professional who enjoys resolving complex reimbursement issues, appealing denials, maximizing claim reimbursement, and working collaboratively across departments to achieve results.

Why Join AIS Healthcare?

We offer a comprehensive benefits package, including:

  • 100% Remote Work Opportunity
  • Medical, Dental, and Vision Insurance
  • Life Insurance
  • Long-Term Disability Insurance
  • Competitive Paid Time Off
  • 401(k) with Generous Employer Contribution
  • Career Growth Opportunities
  • Supportive and Collaborative Team Culture
Position Summary

The Healthcare Collections Specialist is responsible for managing collection activities for Targeted Drug Delivery (TDD) services. This includes reimbursement follow-up, denial management, contract analysis, appeals, payment investigation, and resolving billing-related issues with insurance carriers and other responsible parties.

Successful candidates will have strong healthcare collections experience and a thorough understanding of medical billing, reimbursement methodologies, and revenue cycle operations.

What You'll Do
  • Follow up on submitted claims to ensure prompt and accurate payment
  • Investigate and resolve denied, underpaid, or unpaid claims
  • Analyze payments and denials to ensure appropriate reimbursement
  • Research and resolve payment discrepancies
  • Initiate and manage appeals to maximize reimbursement
  • Process account adjustments, write-offs, and refund requests in accordance with company policies
  • Investigate and resolve overpayments and duplicate payments
  • Collaborate with internal departments to obtain information required for payment resolution
  • Verify billing accounts against the accounts receivable ledger to ensure accuracy
  • Maintain detailed documentation of all payer communications and account activity
  • Resolve denial issues within established turnaround times
  • Ensure compliance with HIPAA, payer regulations, and federal and state requirements
  • Identify opportunities to improve reimbursement and reduce outstanding accounts receivable
  • Serve as a resource and team player by sharing knowledge and supporting colleagues
Required Qualifications
  • High School Diploma or GED
  • 3-5 years of healthcare industry experience
  • 3-5 years of medical billing and insurance collections experience
  • Strong understanding of Revenue Cycle Management functions
  • Knowledge of medical terminology, insurance plans, reimbursement methodologies, and collection practices
  • Working knowledge of ICD-9 and ICD-10 coding
  • Experience with denial management, appeals, and reimbursement follow-up
  • Strong analytical, investigative, and problem-solving skills
  • Excellent verbal and written communication skills
  • Ability to work independently in a remote environment
  • Proficiency in Microsoft Outlook, Word, and Excel
Preferred Qualifications
  • Home Infusion experience
  • Intrathecal Pain Management experience
  • Specialty healthcare or infusion reimbursement experience
  • Knowledge of NDC codes and infusion-related supplies and services
How to Apply

To be considered for this position, you must complete the Culture Index Assessment.

Important: Applications will not be reviewed until the assessment has been completed. The assessment takes less than 10 minutes to complete.

Culture Index Assessment:
http://portal.cultureindex.com/public/survey/general/0BFB8F0000

About AIS Healthcare

AIS Healthcare is the nation's leading provider of advanced sterile, patient-specific intrathecal pump medications and in-home infusion therapies. Through innovative pharmacy services, specialized nursing care, and comprehensive care coordination, we partner with providers to deliver exceptional patient outcomes and experiences.

We offer a wonderful work culture and are looking for an impact player who is positive, hardworking, collaborative, and committed to delivering exceptional results.

AIS Healthcare | Advancing Quality. Improving Lives.

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