Medical Insurance Claims Follow-up Specialist

HCA Healthcare, Inc.; Gainesville (FL); Remote; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) match

Tuition assistance

Life insurance

Job summary

HCA Healthcare, Inc. is seeking a Medical Insurance Claims Follow-up Specialist to support Parallon. You will process insurance accounts, address claim issues, and drive payments to resolution from home within 60 miles of an HCA hospital.

Ideal candidates have 3–5 years in medical insurance follow-up or billing, experience with physician and hospital denials, and proficiency with Adobe documents and Microsoft Office. Wired internet is required for remote work.

Qualifications

• 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 25MB download and 15MB upload.
• Remote employees are required to live within a 60 mile radius of an HCA Hospital

Responsibilities

• 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.

Skills

Microsoft Office

Customer service

Communication skills

Tools

Adobe Acrobat

Job description

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

AsaMedical Insurance Claims Follow-up Specialist,you willbe responsibleforprocessinginsurance accounts to address claim issues and thereby affect payment and/or bringing themto resolution.

What you will do in this role:

• Status account and document all work performed in the company and client computer systems.
• Assess accounts todeterminethe nextappropriate courseof action in line with company policies and procedures.
• Place outbound calls to insurance companies, guarantors, patients, doctors’officesand/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 andclient'scomputer systems.
• Medical and insurance terminology (such as procedure codes, diagnoses, and patient liability), and full understanding of hospital/physician billing.
• Demonstrated communication andproblem-solvingskills and the ability to act/decide accordingly.
• Ability to collect, create and research complex or diverse information.
• Exceptional customer service and the ability toplan,organize and exercise sound judgment.

Qualifications you will need:

• Minimum 3-5years' experiencein MedicalInsurance ClaimsFollow-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 internet25MB download and15MB 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 benefitsfor medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support,including free counseling and referral services
• Time away from workprograms 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 supportthrough tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefitsfor fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

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.
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.