Medical Insurance Claims Specialist
HCA Healthcare · Kaysville, UT · 1 mo ago
On-siteAdministrativeFull-time
We need to output HTML fragment with headings for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. No job title heading. No Job ID etc. Remove boilerplate, navigation, EEO, etc. Must preserve all substantive info.
We need to parse the posting.
Content:
- Intro: "Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Medical Insurance Claims Specialist today with HCA Healthcare." This is like an About the role / summary.
- "Job Summary And Qualifications 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/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."
- Then bullet list of duties: "What you will do in this role:" then list items.
- Then "Qualifications you will need: Minimum (1) year of experience in a medical office setting highly preferred. (i.e. ambulatory surgery center, hospital, doctors office) preferred Knowledge of managed care payers and medical terminology is preferred"
- Then Benefits section: "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: ..." then list of benefits.
- Then "Learn More About Employee Benefits Note: Eligibility for benefits may vary by location." (maybe part of benefits)
- Then "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. We do so with the backing of the clinical, operational, and financial expertise of a Fortune 100 healthcare leader. At Surgery Ventures, we are committed to supporting your career growth and advancement at every stage. 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 "The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Medical Insurance Claims Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status."
We need to remove EEO boilerplate (the last paragraph about equal opportunity). Also remove navigation/cookie/legal etc. There's none explicit.
We need to keep substantive info: intro, job summary, duties, qualifications, benefits, maybe about Surgery Ventures (company description) could be part of About the role or maybe a separate section like "About the company". But headings limited to given list: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can map:
- About the role: include intro and job summary and maybe company description (Surgery Ventures) as part of role context.
- Responsibilities: the bullet list of duties.
- Requirements: maybe the qualifications (experience, knowledge). Could also be Qualifications section. But we have both Requirements and Qualifications headings allowed. We need to decide which to use. The posting has "Qualifications you will need:" and also mentions "Minimum (1) year of experience...". Could treat as Qualifications. Requirements could be maybe same. To avoid duplication, we can use Qualifications for the experience/knowledge, and maybe Requirements for any specific required skills? Not much else. Could combine.
- Skills: maybe not explicitly listed; we could omit if no specific skill list.
- Benefits: the benefits paragraph and list.
- Pay: not mentioned; omit.
- Schedule: not mentioned; omit.
Thus we will output sections: About the role, Responsibilities, Qualifications, Benefits.
We need to use
for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. No job title heading. No Job ID etc. Remove boilerplate, navigation, EEO, etc. Must preserve all substantive info.
We need to parse the posting.
Content:
- Intro: "Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Medical Insurance Claims Specialist today with HCA Healthcare." This is like an About the role / summary.
- "Job Summary And Qualifications 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/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."
- Then bullet list of duties: "What you will do in this role:" then list items.
- Then "Qualifications you will need: Minimum (1) year of experience in a medical office setting highly preferred. (i.e. ambulatory surgery center, hospital, doctors office) preferred Knowledge of managed care payers and medical terminology is preferred"
- Then Benefits section: "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: ..." then list of benefits.
- Then "Learn More About Employee Benefits Note: Eligibility for benefits may vary by location." (maybe part of benefits)
- Then "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. We do so with the backing of the clinical, operational, and financial expertise of a Fortune 100 healthcare leader. At Surgery Ventures, we are committed to supporting your career growth and advancement at every stage. 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 "The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Medical Insurance Claims Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status."
We need to remove EEO boilerplate (the last paragraph about equal opportunity). Also remove navigation/cookie/legal etc. There's none explicit.
We need to keep substantive info: intro, job summary, duties, qualifications, benefits, maybe about Surgery Ventures (company description) could be part of About the role or maybe a separate section like "About the company". But headings limited to given list: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can map:
- About the role: include intro and job summary and maybe company description (Surgery Ventures) as part of role context.
- Responsibilities: the bullet list of duties.
- Requirements: maybe the qualifications (experience, knowledge). Could also be Qualifications section. But we have both Requirements and Qualifications headings allowed. We need to decide which to use. The posting has "Qualifications you will need:" and also mentions "Minimum (1) year of experience...". Could treat as Qualifications. Requirements could be maybe same. To avoid duplication, we can use Qualifications for the experience/knowledge, and maybe Requirements for any specific required skills? Not much else. Could combine.
- Skills: maybe not explicitly listed; we could omit if no specific skill list.
- Benefits: the benefits paragraph and list.
- Pay: not mentioned; omit.
- Schedule: not mentioned; omit.
Thus we will output sections: About the role, Responsibilities, Qualifications, Benefits.
We need to use for each section heading. Then content:
for prose,
- for lists.
We must preserve all substantive information; do not invent or summarize away detail. Must not omit any substantive info.
Let's extract substantive info:
Intro: "Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Medical Insurance Claims Specialist today with HCA Healthcare."
Job Summary: "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/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."
Company description (Surgery Ventures): "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. We do so with the backing of the clinical, operational, and financial expertise of a Fortune 100 healthcare leader. At Surgery Ventures, we are committed to supporting your career growth and advancement at every stage. 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 "The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Medical Insurance Claims Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!"
But note: The last part includes application encouragement; we should remove application instructions? The instruction says: "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions." So we need to remove application instructions like "If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Medical Insurance Claims Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!" That's application instructions. So we should omit that.
Also remove the EEO statement at the end.
Thus the company description part we keep up to the charitable spend quote maybe. But we need to see if any part is application instructions. The sentence: "If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Medical Insurance Claims Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!" is definitely application instructions; remove.
Thus we keep: "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. We do so with the backing of the clinical, operational, and financial expertise of a Fortune 100 healthcare leader. At Surgery Ventures, we are committed to supporting your career growth and advancement at every stage. 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 "The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder"
We need to keep the quote inside; it's part of the description.
Now responsibilities list:
- You will perform follow up activities on accounts to ensure prompt payment
- You will identify coding or billing errors from EOBs and work to correct them
- You will monitor insurance claims and contact insurance companies to resolve claims
- You will update the patient account record to identify actions taken
- You will assign bad debt to the collection agency
- You will act as a liaison accounts and administer contracts in collection of third party accounts (Medicare and Medicaid)
- You will complete account reconciliation of accounts turned over to outside agencies
- You will negotiate payment plans on self-pay accounts
- You are responsible for maintaining accounts receivable and creating a reduction in bad debt
Note: The last bullet is a sentence; we keep.
Qualifications:
- Minimum (1) year of experience in a medical office setting highly preferred. (i.e. ambulatory surgery center, hospital, doctors office) preferred
- Knowledge of managed care payers and medical terminology is preferred
Note: The phrasing is a bit redundant; we keep as is.
Benefits:
Paragraph: "HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:"
Then list items (separated by commas in original but we need to make list). Original list:
- 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
Also note: "Learn More About Employee Benefits Note: Eligibility for benefits may vary by location." This is a note; we could keep as a short paragraph after list: "Note: Eligibility for benefits may vary by location."
We should not include "Learn More About Employee Benefits" as it's likely a link; we can drop that phrase but keep the note.
Thus benefits section:
HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of