Medical Insurance Claims Specialist

Join HCA Healthcare, part of the nation's leading provider of healthcare services, as a Collections Specialist.

About the role

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 or 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.

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

Requirements

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

Benefits

HCA 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.

About the company

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, backed by the clinical, operational, and financial expertise of a Fortune 100 healthcare leader.

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.