Medical Insurance Claims Representative

Medical Insurance Claims Representative

Hourly Wage Estimate: $19.84 - $29.76 / 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.

Do you want to join an organization that invests in you as a Medical Insurance Claims Representative? At HCA Healthcare, 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.

*This position is Full-time with required on-site orientation/training in our Denver, CO office and the possibility to work from home after meeting and maintaining productivity standards.

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.

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

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

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

"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 Medical Insurance Claims Representative 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.

HCA Healthcare