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Medical Insurance Claims Specialist

HCA Healthcare

Kaysville, UTHybridJobNo compensation foundPosted 2mo agoSeen in employer's feed 4 days ago

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At a glance

Compensation
No compensation found
Location
Kaysville, UTHybrid
Work Authorization
Not specified

Job overview

HCA Healthcare is hiring a Medical Insurance Claims Specialist. The Collections Specialist at HCA Healthcare is responsible for follow-up and collections for patient services. This role involves obtaining payments from third-party payers and self-pay accounts to enhance cash flow and ensure reimbursement based on established contracts. The specialist will work under the supervision of the Business Office Manager/Supervisor.

Key focus areas include Perform follow up activities on accounts to ensure prompt payment, Identify potential coding or billing errors from EOBs to work to resolve, and Monitor insurance claims and contact insurance companies to resolve claims.

Important skills include Follow Up Activities, Identify Potential Coding Or Billing Errors, Monitor Insurance Claims, Contact Insurance Companies To Resolve Claims, Update Patient Account Record, and Identify Accounts To Be Placed With Collection Agency. Preferred (not required): Knowledge Of Managed Care Payers and Medical Terminology.

Skills & qualifications

RequiredNice to have

Skills

Follow Up ActivitiesIdentify Potential Coding or Billing ErrorsMonitor Insurance ClaimsContact Insurance Companies to Resolve ClaimsUpdate Patient Account RecordIdentify Accounts to Be Placed With Collection AgencyAdminister Contracts in Obtaining Correct ReimbursementPropose Payment Plans on Patient BalancesMaintain Accounts Receivable GoalsKnowledge of Managed Care PayersMedical Terminology

Qualifications

Live in Greater Salt Lake City, UT Area90 Day on-Site Training Period1 Year Medical Office Setting Experience

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
Paid Time Off
401(k) Match
Tuition Assistance

Full job description

Candidates must live in the greater Salt Lake City, UT area in order to be considered - 90 day on-site training period is required

Do you have the career opportunities as a Collections Specialist you want with your current employer? We have an exciting opportunity for you to join HCA Healthcare which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Job Summary and Qualifications

As the Collections Specialist, 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 potential coding or billing errors from EOBs to work to resolve

  • 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 identify accounts to be placed with the collection agency when applicable

  • You will administer contracts in obtaining correct reimbursement

  • You will propose payment plans on patient balances according to policy

  • You are responsible for maintaining accounts receivable goals causing 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

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

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

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

"Bricks and mortar do not make a hospital. People do."- 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 Collections 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.

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