Insurance Eligibility Coordinator

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized.

About the role

This position is responsible for the coordination of various insurance requirements and is expected to be proactively and retroactively reviewing patient accounts. This individual will be involved in on-going communication and coordinate information to various stakeholders in a timely manner. The Insurance Eligibility Coordinator will work with various patients, insurers, providers, and staff to stay compliant with federal and state insurance guidelines.

Position eligible to be utilized with practice volume as measurement of 75 or more patients a day.

Responsibilities

• Perform pre-registration and insurance verification on all patients
• Contact appropriate parties to resolve issues regarding prior authorizations and necessary referral requirements
• Assign insurance plans accurately
• Communicate with appropriate parties to discuss any insurance criteria
• Verify and utilize online carrier portals and websites to calculate patient cost share and assist patient with payment to appropriate departments
• Coordinate and oversee all Good Faith Estimates and the federally mandated requirements
• Resolve and oversee denied billing issues for various insurance companies
• Assist in answering incoming calls and ensure patient questions are answered and screened appropriately
• Collect co-pays and discuss reasoning for past due balances with patients
• Perform other related job functions as assigned
• Work with co-workers, patients, various stakeholders, and management in a positive, supportive, and cooperative manner
• Participate in educational activities and attend monthly staff meetings
• Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations

Qualifications

• Minimum of two years of medical office or acute care setting healthcare experience required
• Minimum of one year of health insurance related experience required

Associate Degree preferred.

Benefits

Medical City 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

Note: Eligibility for benefits may vary by location.