Medical Collections Specialist

HCA Healthcare; Jacksonville (FL); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Medical insurance

Prescription drug coverage

Dental insurance

Vision insurance

Wellbeing support (counseling)

Job summary

Surgery Ventures in partnership with HCA Healthcare seeks a Collections Specialist to drive timely payments for patient services in Jacksonville, FL. You will follow up on insurance and self-pay accounts, coordinate with payers and clinicians, and ensure accurate documentation and reporting of collections activity.

Qualifications include 1 year in a medical office setting and knowledge of managed care payers. Benefits support and career growth opportunities are available.

Qualifications

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

Responsibilities

• Manage assigned accounts receivable to drive timely payment and minimize bad debt.
• Perform timely follow-up on insurance and self-pay accounts to secure reimbursement.
• Contact insurance carriers, patients, and other responsible parties to resolve unpaid accounts.
• Identify and resolve billing, coding, EOB, and claim issues delaying payment.
• Follow up on insurance denials and coordinate with coders and physicians for reimbursement.
• Negotiate payment arrangements on self-pay accounts following established policies.

Skills

Accounts receivable

Collections

Medical terminology

Managed care payers

Job description

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

As the Collections Specialist, 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, 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:

• Manage assigned accounts receivable to drive timely payment, reduce outstanding balances, and minimize bad debt.
• Perform consistent, timely follow-up on insurance and self-pay accounts to resolve outstanding balances and secure reimbursement.
• Contact insurance carriers, patients, and other responsible parties to resolve unpaid and disputed accounts.
• Identify and resolve billing, coding, EOB, and claim issues that delay payment.
• Follow up on insurance denials and coordinate with coders and physicians to obtain reimbursement.
• Negotiate payment arrangements on self-pay accounts in accordance with established policies and guidelines.
• Monitor aging accounts and initiate appropriate collection actions, including referral of qualifying accounts to outside collection agencies.
• Reconcile accounts placed with outside collection agencies and monitor collection activity.
• Maintain accurate documentation of collection activity and update patient accounts and AdvantX as required.
• Serve as a liaison for third-party payer accounts, including Medicare and Medicaid, and address issues affecting reimbursement.
• Identify and escal contractual or payer issues that may impact collections.
• Prepare and provide weekly collection and A/R reports to leadership.
• Maintain A/R days and bad debt within established organizational goals.
• Follow established collection best practices and timelines for initial and ongoing account follow-up.
• Perform other duties as assigned based on operational needs.

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.