Medical Collections Specialist

HCA Healthcare•Dallas, TX
•Remote

About The Position

The Medical Collections Specialist (also referred to in the posting as Collections Representative) performs follow-up and collections for patient services in support of the organization’s mission, vision, and values. Under the supervision of the Business Office Manager or Business Office Supervisor, this role obtains payments from third-party payers and self-pay accounts to enhance cash flow and secure reimbursement based on established contracts. The position is fully remote, with a schedule of 8:00 AM to 4:30 PM. The role supports the North Texas Central Business Office and Surgery Ventures, a unit within HCA Healthcare. Surgery Ventures describes its network as managing more than 150 surgery centers across 16 states, with more than 3,400 physicians and outpatient care for over 800,000 patients.

Requirements

  • At least one year of experience in a medical office setting is highly preferred; examples include an ambulatory surgery center, hospital, or doctor’s office.
  • Knowledge of managed care payers and medical terminology is preferred.

Nice To Haves

  • Experience in a medical office setting, such as an ambulatory surgery center, hospital, or doctor’s office.
  • Knowledge of managed care payers and medical terminology.

Responsibilities

  • Perform follow-up activities on accounts to ensure prompt payment.
  • Identify coding or billing errors from explanations of benefits (EOBs) and work to correct them.
  • Monitor insurance claims and contact insurance companies to resolve claims.
  • Update patient account records to document actions taken.
  • Assign bad debt to the collection agency.
  • Act as a liaison for accounts and administer contracts in collecting third-party accounts, including Medicare and Medicaid.
  • Reconcile accounts turned over to outside agencies.
  • Negotiate payment plans for self-pay accounts.
  • Maintain accounts receivable and reduce bad debt.

Benefits

  • Comprehensive medical, prescription drug, dental, vision, behavioral health, and telemedicine benefits.
  • 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.
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