Medical Insurance Claims Representative

at  HCA Healthcare

Hourly Wage Estimate: $19.48 - $27.28 / hour
Learn more about the benefits offered for this job.
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.

JOB SUMMARY AND QUALIFICATIONS

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.

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
  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 Medical Insurance Claims Representative 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 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

• 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