Medical Insurance Claims Specialist

HCA Healthcare; Kaysville (UT); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Paid time off

401(k) with company match

Education support

Fertility and family building benefits

Job summary

HCA Healthcare is seeking a Medical Insurance Claims Specialist to support patient services collections and reimbursement. You will obtain payments from third-party payers and self-pay accounts to improve cash flow under the supervision of the Business Office Manager/Supervisor.

You will follow up on accounts, resolve EOB coding issues, contact insurers to settle claims, and maintain accurate patient records while coordinating with outside agencies as needed.

Qualifications

• Minimum 1 year of experience in a medical office setting (ambulatory surgery center, hospital, doctor’s office) preferred.
• Knowledge of managed care payers and medical terminology preferred.

Responsibilities

• Perform follow-up activities 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 to the collection agency.
• Act as a liaison for accounts and administer contracts in collection of third party accounts (Medicare and Medicaid).
• Complete account reconciliation of accounts turned over to outside agencies.
• Negotiate payment plans on self-pay accounts.
• Maintain accounts receivable and create a reduction in bad debt.

Skills

Medical terminology

Medical office experience

Attention to detail

Job description

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 Claims Specialist today with HCA Healthcare.

Job Summary And Qualifications

As the Collections 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 to the collection agency
• You will act as a liaison accounts 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

• 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

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.

“The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual.”- 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.