Medical Insurance Claims Follow-Up Specialist

HCA Healthcare, Inc.; Caldwell (ID); Remote; USD 21,000 - 32,000; Full time

Benefits offered by this job

Health insurance

Dental coverage

Vision coverage

Telemedicine

401(k) match

Education support

Job summary

HCA Healthcare, Inc. is seeking a Medical Insurance Claims Follow-up Specialist for a fully remote position. You will process insurance accounts, address claim issues, and work to bring accounts to resolution while supporting patient billing operations.

The role requires residence within 60 miles of an HCA hospital and an 8-hour shift between 6am and 6pm CST. You will interact with insurers, guarantors, and healthcare providers, documenting work in systems, and applying knowledge of medical

Qualifications

• 3–5 years' experience in Medical Insurance Claims Follow-up/Billing.
• Experience with Microsoft Office suite and standard office equipment (efax).
• Physician and Hospital Claim Denial experience required
• Remote roles require high-speed wired internet (25 Mbps down / 15 Mbps up).
• Remote employees must live within a 60 mile radius of an HCA Hospital.

Responsibilities

• Status accounts and document all work in company and client systems.
• Assess accounts to determine next actions per policy.
• Place outbound calls to insurance companies, guarantors, patients, doctors’ offices and facilities; handle incoming calls as needed.
• Process related correspondence from insurers and perform follow-up.
• Reconcile balances and payments between insurers and client systems.
• Understand medical and insurance terminology and hospital/physician billing.
• Demonstrate communication and problem-solving skills and sound judgement.
• Collect, create and research complex or diverse information.
• Provide exceptional customer service and effective planning.

Skills

Medical claims follow-up

Customer service

Problem solving

Tools

Microsoft Office

Adobe documents

efax

Job description

Hourly Wage Estimate: $15.46 - $23.19 / hour

Learn more about the benefits offered ( https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards ) for this job.

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

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). Schedule: Requires an 8hr shift, hours between 6a-6p CST. Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Medical Insurance Follow-up/Revenue Cycle Representative today with Parallon.

Job Summary and Qualifications

As a 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 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

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 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.

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.

“Bricks and mortar do not make a hospital. People do.”- Dr. Thomas Frist, Sr.

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.