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HH
HCA Healthcare
Medical Insurance Claims Specialist
Career Insights for Claims Adjuster / Specialist (General)
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Based on Utah data
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What they do
A Claims Adjuster or Specialist investigates and evaluates insurance claims. Specializes in a particular type of insurance. Inspects property damage, including damage to homes, buildings and cars; reviews claims after they are submitted; may authorize or deny payment for claims. May work directly for insurers or on behalf of claimants.
$74,303 / year median in Utah
+17% projected growth
Job Description
•Candidates must live in the greater Salt Lake City, UT area in order to be considered - 90 day on-site training period is required•Do you have the career opportunities as a Collections Specialist you want with your current employer? We have an exciting opportunity for you to join HCA Healthcare which is part of the nation's leading provider of healthcare services, HCA Healthcare. Job Summary and Qualifications As the Collections Specialist, 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 potential coding or billing errors from EOBs to work to resolve 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 identify accounts to be placed with the collection agency when applicable You will administer contracts in obtaining correct reimbursement You will propose payment plans on patient balances according to policy You are responsible for maintaining accounts receivable goals causing 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 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 benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources , including a 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 Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts