Medical Insurance Claims Representative

Description

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Medical Insurance Claims Representative with HCA Healthcare you can be a part of an organization that is devoted to giving back!

We are committed to providing our employees with the support they need. At HCA Healthcare, we offer eligible colleagues an attractive benefit package that includes medical, wellbeing, dental and vision benefits along with some unique benefits including:

• Medical, Dental, Vision, Life Insurance and Flexible Spending
• Paid Time Off (PTO) and Personal Leave
• 401K(100% annual match - 3% to 9% of pay based on years of service)
• Academic Assistance and Reimbursements for Tuition and Student Loans
• Employee Discounts including Tickets, Retail, Mental Health Apps, Education Apps, Identity Theft Protection etc.
• Home, Auto, and Pet Insurance
• Employee Stock Purchase Program (ESPP)
• Short Term & Long Term Disability coverage
• Adoption Assistance
• Legal Benefits and lots more!

Learn more about Employee Benefits

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the HCA Healthcare family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Medical Insurance Claims Representative to help us reach our goals. Unlock your potential!

As the Medical Insurance Claims 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.

What you will do in this role:

• 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 accounts to the collection agency
• You will act as a liaison 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

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

Ambulatory Services Division is a growth-oriented business sector of HCA Healthcare. We encompass 140+ surgery centers across 16 states with 3,200 physician partners. We perform outpatient surgery cases in our single and multispecialty centers across HCA Healthcare. We are in more than 13 divisions. The size of our surgery centers creates a culture where everyone knows one another. We have a shared focus on providing the best possible experience for those that we serve.

HCA Healthcare has been named one of the World's Most Ethical Companies by Ethisphere Institute for over a decade. 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.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Be a part of an organization that invests in you! We are reviewing applications for our Medical Insurance Claims Representative opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.