Office Specialist

Introduction

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!

Benefits

• Comprehensive medical coverage that covers many common services at no cost or for a low copay.
• Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retailer readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Job Summary and Qualifications

• Answers all incoming phone calls (customer and/or informational) promptly and courteously, respond to all voice mail messages and redirect all incoming phone calls to the appropriate person (if applicable).
• Navigates payer systems and websites to determine coverage and patient financial responsibility.
• Verifies insurance and determines patient financial responsibility.
• Collections co-pays appropriately.
• Updates patient demographics (i.e. patient address, phone numbers).
• Obtains and/or insures Pre-Authorization/Medical Necessity for procedures.
• Runs state license check and OIG sanctions check on undefined providers, relay documentation.
• Uses Center’s various IT systems, schedules, re-schedules and registers patients for procedures.
• Adequately manages release of information to providers and patients, runs day-end reports from Meditech for unresolved items.
• Accesses patient records and provides for HIPAA compliant release of PHI.
• Scans, files and manages paper documentation.
• Faxes or phones results as indicated.
• Provides appropriate patient preparation material and instructions and logs dispensing.
• Sorts incoming mail. Processes various correspondence including credit card payments and sets up payment plans.
• Problem-solves to provide best patient experience even in the presence of barriers.
• Completes outbound calls such as appointment reminders, missed appointment recovery calls and schedule patient accordingly.
• Captures and processes other related work as assigned by immediate supervisor.
• Coordinates and/or participates in the orientation and training of new staff under the guidance of the Center Director.

Knowledge, Skills and Abilities

• Knowledge of data entry techniques.
• Ability to learn various IT platforms to accomplish duties.
• Ability to understand and explain health insurance benefits.
• Ability to communicate effectively with patients, referrers, insurance providers, billing offices.
• Ability to use computer, 10 key calculator, fax machine, and photocopier.
• Skill in organization.
• Skill in establishing and maintaining effective working relationships with other staff members, referral sources and patients.
• Ability to maintain confidentiality.
• Integrity.

Education and Experience

• A high school diploma or GED is required.
• One year of customer service experience, medical environment involving patient registration and application of health plan benefits is preferred.