Description
SHIFT: Work From Home
SCHEDULE: Full-time
Do you have the career opportunities you want in your current role? We have an exciting opportunity for you to join the nation's largest provider of healthcare services as an Insurance Follow-Up Representative.
Our employees come first. We provide a total compensation package to make sure your needs are met. Choose the medical coverage package that best suits you. Look after your loved ones while still getting paid with our Paid Family Leave. Plan for your future with our matching 401k or opt-in for several other benefits including tuition assistance, student loan repayment, family and medical flex spending accounts, life insurance, and identity theft protection.
Parallon is dedicated to the growth and development of our colleagues. We will provide you the tools and resources you need to succeed in our organization. We are currently looking for an ambitious individual like you to help us reach our goals. Unlock your potential here!
As an Insurance Follow-Up Representative, you will process medical insurance accounts to address claim issues and to affect payment and/or bring them to resolution. You will research claim status with carriers via various portals to reach resolution and payment of claims.
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 clients computer systems.
* Escalate issues to Team Lead or Manager as necessary
* Duties may vary by location
* Adheres to and supports organizational IT&S standards, policies, and procedures.
* Adheres to Code of Conduct
* Performs other duties as assigned
Qualifications
* Knowledge of medical and insurance terminology (such as procedure codes, diagnoses, and patient liability), and full understanding of hospital/physician billing
* Ability to read and understand EOB statements
* Understanding of co-pay, co-insurance, primary and secondary payer in regards to medical insurance coverage, paper and electronic claims processing
* Minimum 1-2 years experience in Medical Billing/Follow-up for a facility, medical clinic, or doctors office and experience with Microsoft Office suite and standard office equipment required
* High school diploma or equivalent preferred
Parallon is an industry leader in revenue cycle services. We partner with over 650 hospitals and 2,400 physician practices nation-wide. Our parent company, Hospital Corporation of America (HCA) has been named a Worlds Most Ethical Company by Ethisphere and is ranked in the Fortune 100.
If you find this opportunity compelling, we encourage you to apply. We promptly review all applications. If you are highly qualified you will hear from one of our managers. We are actively interviewing so apply today!
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.
BCOM
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Nashville, TN
HCA Healthcare, Inc., through its subsidiaries, provides health care services. The company operates general, acute care hospitals that offer medical and surgical services, including inpatient care, intensive care, cardiac care, diagnostic, and emergency services; and outpatient services, such as outpatient surgery, laboratory, radiology, respiratory therapy, cardiology, and physical therapy services. It also operates psychiatric hospitals, which provide therapeutic programs comprising child, adolescent and adult psychiatric care, and adolescent and adult alcohol and drug abuse treatment and counseling.
In addition, the company operates outpatient health care facilities consisting of freestanding ambulatory surgery centers, freestanding emergency care facilities, urgent care facilities, walk-in clinics, diagnostic and imaging centers, rehabilitation and physical therapy centers, radiation and oncology therapy centers, physician practices, and various other facilities. As of December 31, 2018, it owned and operated 179 hospitals and 123 freestanding surgery centers located in 20 states and the United Kingdom. The company was formerly known as HCA Holdings, Inc. HCA Healthcare, Inc. was founded in 1968 and is headquartered in Nashville, Tennessee.