Remote Medical Insurance Claims Follow-Up Specialist

HCA Healthcare, Inc.; Ocala (FL); Remote; USD 48,000 - 64,000; Full time

Benefits offered by this job

Medical, prescription drug, dental, &

Vision & behavioral health benefits

401(k) with company match

Tuition assistance & professional cert

Job summary

HCA Healthcare, Inc. is seeking a Medical Insurance Claims Follow-up Specialist who will process insurance accounts to address claim issues and affect payments. This remote role requires living within 60 miles of an HCA hospital and working an 8-hour CST shift.

You will handle outbound calls, verify balances, and apply medical/insurance terminology while delivering strong customer service and problem solving. This position supports Parallon services.

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 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

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

Medical billing

Customer service

Communication

Problem solving

Research

Microsoft Office

EFax

Time management

Tools

Adobe Acrobat

Microsoft Office

EFax application

Job description

HCA Healthcare, Inc. is seeking a Medical Insurance Claims Follow-up Specialist who will process insurance accounts to address claim issues and affect payments. This remote role requires living within 60 miles of an HCA hospital and working an 8-hour CST shift.

You will handle outbound calls, verify balances, and apply medical/insurance terminology while delivering strong customer service and problem solving. This position supports Parallon services.