Remote 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

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