Medical Insurance Claims Follow-up Representative

HCA Healthcare • Reston, VA

299d • Remote

About The Position

As an Insurance Follow up Representative, you will be responsible for processing insurance accounts to address claim issues and thereby affect payment and/or bringing them to resolution. You will 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. You will need to have medical and insurance terminology knowledge (such as procedure codes, diagnoses, and patient liability), and a full understanding of hospital/physician billing. Demonstrated communication and problem-solving skills and the ability to act/decide accordingly are essential. You should also have the ability to collect, create and research complex or diverse information, along with exceptional customer service skills and the ability to plan, organize and exercise sound judgment.

Requirements

• Minimum 1-2 years' experience in Medical Insurance Claims Follow-up for a facility, medical clinic, or doctor's office.
• Experience with Microsoft Office suite and standard office equipment (efax application) preferred.
• Experience with Adobe documents.
• Work from home roles require employees must have wired high speed internet 25 MB download and 15 MB upload.

Responsibilities

• 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.

Benefits

• 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 free 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.
• Free counseling services and resources for emotional, physical and financial wellbeing.
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service).
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock.
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more.
• Consumer discounts through Abenity and Consumer Discounts.
• Retirement readiness, rollover assistance 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).
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: No Education Listed