Medical Insurance Claims Representative

HCA Healthcare; Englewood (CO); On-site; USD 27,000 - 41,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

PTO and leave

401(k) match

Tuition assistance

Employee stock purchase plan

Job summary

HCA Healthcare is hiring a Medical Insurance Claims Representative for an on-site role in Denver, CO. The position focuses on follow-up, collections, and coordinating with third party payers to improve cash flow.

You will work under supervision to obtain payments, resolve EOB issues, monitor claims, and maintain patient accounts while ensuring compliance with established contracts and company policies.

Qualifications

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

Responsibilities

• Perform follow up on accounts to ensure prompt payment.
• Identify coding or billing errors from EOBs and work to correct them.
• Monitor insurance claims and contact insurance companies to resolve claims.
• Update the patient account record to identify actions taken.
• Assign bad debt accounts to the collection agency.
• Administer contracts in collection of third party accounts (Medicare/Medicaid).
• Complete account reconciliation of accounts turned over to outside agencies.
• Negotiate payment plans on self-pay accounts.

Skills

Follow-up

Billing procedures

Communication skills

Medical terminology

Payment collection

Tools

EOB review

Contracts management

Billing software

Job description

Hourly Wage Estimate: $19.84 - $29.76 / hour

Learn More About The Benefits Offered 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 position is Full-time and required to work on-site in our Denver, CO office**

Do you have the career opportunities as a Medical Insurance Claims Representative you want with your current employer? We have an exciting opportunity for you to join HCA Healthcare which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Job Summary And Qualifications

As the Medical Insurance Claims 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 accounts to the collection agency


• You will act as a liaison 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

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.

"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.