Insurance Verification Specialist

Do you want to join an organization that invests in you as a(an) Insurance Verification Specialist? At Carlos Medrano MD, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Job Summary and Qualifications

Full time (Monday - Friday, days), no nights, no on call, no weekends, no holidays

Seeking an Insurance Eligibility Coordinator for our practice who provides clinical expertise to ensure all patients receive high quality, efficient care. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now.

What you will do in this role:

· Perform pre-registration and insurance verification on all patients

· Contact appropriate parties to resolve issues regarding prior authorizations and necessary referral requirements

· Assign insurance plans accurately

· Communicate with appropriate parties to discuss any insurance criteria

· Verify and utilize online carrier portals and websites to calculate patient cost share and assist patient with payment to appropriate departments

· Coordinate and oversee all Good Faith Estimates and the federally mandated requirements

· Resolve and oversee denied billing issues for various insurance companies

· Assist in answering incoming calls and ensure patient questions are answered and screened appropriately

· Collect co-pays and discuss reasoning for past due balances with patients

· Performs other related job functions as assigned

· Ability to work with co-workers, patients, various stakeholders, and management in a positive supportive, and cooperative manner

· Participates in educational activities and attends monthly staff meetings

· Maintains strict confidentiality; adheres to all HIPAA guidelines/regulations

What Qualifications you will need:

EDUCATION: Associate degree preferred

EXPERIENCE:

· A minimum of two years of medical office or acute care setting healthcare experience required

· A minimum of one year of health insurance related experience required

Benefits

Carlos Medrano MD, 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.

Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life.

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 costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Insurance Verification Specialist opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

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.