Medical Insurance Claims Follow-up

HCA Healthcare; Kansas City (MO); Remote; USD 40,000 - 60,000; Full time

Job summary

A leading healthcare organization is seeking a Medical Insurance Claims Follow-up Specialist who will process insurance accounts and resolve claim issues. This remote position requires living within 60 miles of a designated hospital and involves extensive communication with insurance companies and clients. Candidates should have 3-5 years of experience in billing and strong customer service skills. Competitive benefits and support are offered.

Benefits

Comprehensive medical coverage

401(k) Plan with matching

Education assistance

Qualifications

• Minimum 3-5 years' experience in Medical Insurance Claims Follow-up/Billing.
• Physician and Hospital Claim Denial experience is required.
• Wired high-speed internet required for work-from-home.

Responsibilities

• Process insurance accounts to address claim issues.
• Place outbound calls and handle incoming calls as necessary.
• Reconcile balances and payments between insurance companies and clients.

Skills

Medical terminology

Customer service skills

Problem-solving ability

Communication skills

Tools

Microsoft Office suite

Adobe documents

Job description

Description

Introduction

This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).

Do you want to join an organization that invests in you as a Medical Insurance Claims Follow-up Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

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

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

• Free counseling services and resources for emotional, physical and financial wellbeing

• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

• Employee Stock Purchase Plan with 10% off HCA Healthcare stock

• Family support through fertility and family building benefits with Progyny and adoption assistance.

• Referral services for child, elder and pet care, home and auto repair, event planning and more

• Consumer discounts through Abenity and Consumer Discounts

• Retirement readiness, rollover assistance services and preferred banking partnerships

• Education assistance (tuition, student loan, certification support, dependent scholarships)

• Colleague recognition program

• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Medical Insurance Claims Follow-up Spec like you to be a part of our team.

Job Summary and Qualifications

As an Medical Insurance Claims Follow-up Specialist , you will be responsible for processing insurance accounts to address claim issues and thereby affect payment and/or bringing them to resolution.

What you will do in this role:

• Status account and document all work performed in the company and client computer systems.

• Assess accounts to determine the next appropriate course of action in line with company policies and procedures.

• Place outbound calls to insurance companies, guarantors, patients, doctors’ offices and/or facilities and handle incoming calls as necessary utilizing proper customer service protocol.

• Process related correspondence from insurance companies and perform pertinent follow-up.

• Reconcile balances and payments between insurance companies and client's computer systems.

• Medical and insurance terminology (such as procedure codes, diagnoses, and patient liability), and full understanding of hospital/physician billing.

• Demonstrated communication and problem-solving skills and the ability to act/decide accordingly.

• Ability to collect, create and research complex or diverse information.

• Exceptional customer service and the ability to plan, organize and exercise sound judgment.

Qualifications you will need:

• Minimum 3-5 years' experience in Medical Insurance Claims Follow-up/Billing for a facility, medical clinic, or doctor’s office and experience with Microsoft Office suite and standard office equipment (efax application) preferred.

• Physician and Hospital Claim Denial experience required

• Experience with Adobe documents

• Work from home roles require employees must have wired high speed internet 25 MB download and 15 MB upload.

• Remote employees are required to live within a 60 mile radius of an HCA Hospital

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Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

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.

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"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

Be a part of an organization that invests in you! We are reviewing applications for our Revenue Cycle Rep opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

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.