Insurance Eligibility Coordinator

Insurance Eligibility Coordinator

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized.

This position is responsible for the coordination of various insurance requirements and is expected to be proactively and retroactively reviewing patient accounts. This individual will be involved in on-going communication and coordinate information to various stakeholders in a timely manner. The Insurance Eligibility Coordinator will work with various patients, insurers, providers, and staff to stay compliant with federal and state insurance guidelines.

PRACTICE/PROVIDER REQUIREMENTS: Position eligible to be utilized with practice volume as measurement of 75 or more patients a day

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 discusses 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 strictest confidentiality; adheres to all HIPAA guidelines/regulations
• Performs other related job functions as assigned

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

Medical City 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.

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.

"There is so much good to do in the world and so many different ways to do it." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

If you find this opportunity compelling, we encourage you to apply for our Insurance Eligibility Coordinator opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - 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.