Medical Collections Specialist

HCA Healthcare, Inc.; Houston (TX); Hybrid; USD 42,000 - 54,000; Full time

Benefits offered by this job

Medical benefits

Wellbeing support

Paid time off

401(k) match

Education assistance

Fertility support

Life insurance

Identity protection

Employee discounts

Job summary

HCA Healthcare, Inc. is seeking a Collections Representative for a mostly remote role that requires local Houston residency.

You will perform follow-ups on patient accounts to secure payments, identify billing errors, monitor claims, and negotiate payment plans, collaborating with a Business Office team to optimize cash flow within a healthcare network. Qualifications include at least 1 year in a medical office setting and knowledge of managed care payers.

Qualifications

• Minimum 1 year of experience in a medical office setting (ambulatory surgery center, hospital, doctor’s office) preferred.
• Knowledge of managed care payers and medical terminology preferred.

Responsibilities

• Perform follow-up on accounts to ensure prompt payment.
• Identify coding or billing errors from EOBs and correct them.
• Monitor insurance claims and contact insurers to resolve claims.
• Update patient account records with actions taken.
• Assign bad debt to collection agencies.
• Liaison with accounts and administer contracts in third-party collections (Medicare/Medicaid).
• Complete account reconciliations for accounts turned over to outside agencies.
• Negotiate payment plans on self-pay accounts.
• Maintain accounts receivable and reduce bad debt.

Skills

Follow-up collections

Negotiation

Medical terminology

Customer service

Job description

***This position is mostly remote but need to be local to Houston***

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized.

Job Summary And Qualifications

Collections Representative

As the Collections Representative, you will contribute to the company’s mission, vision, and values by completing follow-up and collections for patient services. Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts.

What you will do in this role:

• You will perform follow up activities on accounts to ensure prompt payment
• You will identify coding or billing errors from EOBs and work to correct them
• You will monitor insurance claims and contact insurance companies to resolve claims
• You will update the patient account record to identify actions taken
• You will assign bad debt to the collection agency
• You will act as a liaison accounts and administer contracts in collection of third party accounts (Medicare and Medicaid)
• You will complete account reconciliation of accounts turned over to outside agencies
• You will negotiate payment plans on self-pay accounts
• You are responsible for maintaining accounts receivable and creating a reduction in bad debt

Qualifications you will need:

• Minimum (1) year of experience in a medical office setting highly preferred. (i.e. ambulatory surgery center, hospital, doctors office) preferred
• Knowledge of managed care payers and medical terminology is preferred

Benefits

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn More About Employee Benefits

Note: Eligibility for benefits may vary by location.

Consider a fulfilling and secure career with Surgery Ventures, in partnership with HCA Healthcare. Our team of over 3,400 physicians manages more than 150 surgery centers across 16 states in the United States. As a dedicated unit within HCA Healthcare, we prioritize providing safe, efficient, and premium surgical services. With over 30 years of pioneering experience in the industry, our physician partners offer exceptional outpatient care to over 800,000 patients in communities across our network. We do so with the backing of the clinical, operational, and financial expertise of a Fortune 100 healthcare leader. At Surgery Ventures, we are committed to supporting your career growth and advancement at every stage. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.