Medical Insurance Claims Specialist

HCA Healthcare • Arlington, TX • 1d ago

Description

Introduction

Do you want to join an organization that invests in you as a Insurance Follow-up Rep? At Parallon, 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.

Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

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

Retirement 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.

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

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Insurance Follow-up Rep like you to be a part of our team.

Job Summary and Qualifications

As an Insurance Follow up Representative , you will be responsible for processing insurance accounts to address claim issues and thereby affect payment and/or bringing them to resolution.

What you will do in this role:

Status account and document all work performed in the company and client computer systems.

Assess accounts to determine the next appropriate course of action in line with company policies and procedures.

Place outbound calls to insurance companies, guarantors, patients, doctors' offices and/or facilities and handle incoming calls as necessary utilizing proper customer service protocol.

Process related correspondence from insurance companies and perform pertinent follow-up.

Reconcile balances and payments between insurance companies and client's computer systems.

Medical and insurance terminology (such as procedure codes, diagnoses, and patient liability), and full understanding of hospital/physician billing.

Demonstrated communication and problem-solving skills and the ability to act/decide accordingly.

Ability to collect, create and research complex or diverse information.

Exceptional customer service and the ability to plan, organize and exercise sound judgment.

Qualifications you will need:

Minimum 1-2 years' experience in Medical Insurance Claims Follow-up for a facility, medical clinic, or doctor's office and experience with Microsoft Office suite and standard office equipment (efax application) preferred.

Experience with Adobe documents

Work from home roles require employees must have wired high speed internet 25 MB download and 15 MB upload.

Remote employees are required to live within a 60 mile radius of an HCA Hospital

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

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.

"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 Follow-up Rep 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.

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