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Medical Insurance Claims Follow-up Rep

TriStar Centennial Medical Center -
Nashville, TN

Quick Apply

Job Details

Full-time

Benefits

Employee stock purchase plan
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Adoption assistance
Family leave
Work from home
401(k) matching
Loan assistance
Life insurance

Qualifications

Mid-level
3 years
Communication skills

Full Job Description

Introduction

This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Medical Insurance Follow-up/Revenue Cycle Representative today with Parallon.

Job Summary and Qualifications

As a Medical Insurance Claims Follow-up Specialist, 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 3-5 years' experience in Medical Insurance Claims Follow-up/Billing for a facility, medical clinic, or doctor’s office and experience with Microsoft Office suite and standard office equipment (efax application) preferred.
Physician and Hospital Claim Denial experience required
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
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 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.

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.

"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- 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 Revenue Cycle 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. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Quick Apply

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