Medical Collections Specialist

HCA Healthcare, Inc.; Houston (TX); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Comprehensive medical/dental/vision &

Wellbeing support and counseling

Paid time off and disability coverage

Education and retirement resources

Job summary

HCA Healthcare, Inc. is seeking a Collections Representative to support patient services collections with a mostly remote role, requiring local Houston residency.

The role focuses on follow-up, payer interactions, and ensuring cash flow by collecting on accounts per contracts. You'll work under supervision to correct EOBs, monitor claims, and negotiate payment plans while maintaining accurate accounts receivable records.

Qualifications

• Minimum 1 year of experience in a medical office setting preferred.
• Knowledge of managed care payers is preferred.
• Knowledge of medical terminology is preferred.

Responsibilities

• Perform follow up and collections for patient services to improve cash flow.
• Obtain payment from third party payers and self-pay accounts per contracts.
• 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 as needed.
• Negotiate payment plans on self-pay accounts.

Skills

Medical terminology

Payer knowledge

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. Medical Collections Specialist

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

HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• 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 (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

Consider a fulfilling and secure career with Surgery Ventures, in partnership with H