Insurance Eligibility Coordinator

HCA Healthcare • Dallas, TX

22h

About The Position

The Insurance Eligibility Coordinator coordinates insurance requirements and proactively and retroactively reviews patient accounts. The role involves ongoing, timely communication and coordination of information among patients, insurers, providers, staff, and other stakeholders. The coordinator helps maintain compliance with federal and state insurance guidelines and supports patients with eligibility, authorization, billing, and payment questions.

Requirements

• At least two years of medical office or acute care healthcare experience.
• At least one year of health insurance-related experience.
• Certification or license is not required.

Nice To Haves

• Associate degree preferred.

Responsibilities

• Perform pre-registration and insurance verification for patients.
• Contact appropriate parties to resolve prior authorization and referral requirement issues.
• Accurately assign insurance plans.
• Communicate with appropriate parties about insurance criteria.
• Verify information through online carrier portals and websites, calculate patient cost share, and assist patients with payments to appropriate departments.
• Coordinate and oversee Good Faith Estimates and federally mandated requirements.
• Resolve and oversee denied billing issues for insurance companies.
• Help answer incoming calls and ensure patient questions are answered and screened appropriately.
• Collect co-pays and discuss the reasons for past-due balances with patients.
• Work positively and cooperatively with coworkers, patients, stakeholders, and management.
• Participate in educational activities and attend monthly staff meetings.
• Maintain strict confidentiality and adhere to HIPAA guidelines and regulations.
• Perform other related job functions as assigned.

Benefits

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health, and telemedicine services.
• Wellbeing support, including free counseling and referral services.
• Paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
• 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.
• Tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
• Fertility and family-building benefits and adoption assistance.
• Life insurance and supplemental health protection plans.
• Auto and home insurance, legal counseling, identity theft protection, and consumer discounts.

What This Job Offers

• Job Type: Full-time
• Education Level: Associate degree