Medical Insurance Claims Representative in Miramar, Florida, United States
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HCA Healthcare

Medical Insurance Claims Representative

Miramar, FL, United States
Full-time • No Weekends
Admitting Registration Clerical and Scheduling   Job ID: 534742
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Description

*$1K SIGN ON BONUS FOR EXTERNAL HIRES*

Introduction

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Medical Insurance Claims Representative with HCA Healthcare you can be a part of an organization that is devoted to giving back!

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 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 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.
  • Fertility and family building benefits through Progyny
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • Family support, including adoption assistance, child and elder care resources and consumer discounts
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan
  • Retirement readiness and rollover 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)

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the HCA Healthcare family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Medical Insurance Claims Representative to help us reach our goals. Unlock your potential!

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

Ambulatory Surgery Division is a growth-oriented business sector of HCA Healthcare. 140+ surgery centers across 16 states with 3,200 physician partners. We perform outpatient surgery cases in our single and multispecialty centers across HCA Healthcare. We are in more than 13 divisions. The size of our surgery centers creates a culture where everyone knows one another. We have a shared focus on providing the best possible experience for those that we serve.

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.

"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

Be a part of an organization that invests in you! We are reviewing applications for our Medical Collections Specialist opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

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.

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Details

Full-time • No Weekends

COVID-19 Vaccination

In compliance with the emergency regulation issued by the Centers for Medicare & Medicaid Services (CMS) dated November 4, 2021, and company policy, this role MAY require you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations, or to have applied for a medical or religious exemption (including booster for California). (For further clarification, please ask your recruiter.)

About HCA Healthcare

What matters most to our diverse and talented colleagues is giving people the absolute best healthcare in the most compassionate way possible.

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