Medical Insurance Claims Follow-up

About the role

This Work from Home position requires that you live and will perform the duties of the position within 60 miles of an HCA Healthcare Hospital. Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA.

Job Summary

As a Medical Insurance Claims Follow-up Specialist, you will be responsible for processing insurance accounts to address claim issues and thereby affect payment and/or bringing them to resolution.

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.

Required Knowledge and Skills

• 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.

Qualifications

• Minimum 3-5 years' experience in Medical Insurance Claims Follow-up/Billing for a facility, medical clinic, or doctor's office.
• Physician and Hospital Claim Denial experience required.
• Experience with Microsoft Office suite and standard office equipment (efax application) preferred.
• Experience with Adobe documents.
• Work from home roles require employees must have 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.

Benefits

Parallon 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

This response is AI-generated, for reference only.